Pre-workshop Survey

Ready CDC

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1022 can be found here:

Documents and Forms

Document Name Document Type
Pre-workshop Survey Form
Pre-workshop Survey Attachment M_Pre-Workshop Survey Screen Shot.docx Form
Attachment C_Pre-Workshop Survey.docx Pre-workshop Survey - word IC Document
Attachment I_Pre Workshop Survey Email.docx Pre-workshop Survey Email IC Document

Information Collection (IC) Details

IC Title:	Pre-workshop Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Pre-workshop Survey	Attachment M_Pre-Workshop Survey Screen Shot.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pre-workshop Survey - word	Attachment C_Pre-Workshop Survey.docx	05/08/2014
Pre-workshop Survey Email	Attachment I_Pre Workshop Survey Email.docx	05/08/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.