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Drought-ic
Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery
OMB: 0920-0879
IC ID: 232671
OMB.report
HHS/CDC
OMB 0920-0879
ICR 201711-0920-012
IC 232671
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:
2024-10-16 - No material or nonsubstantive change to a currently approved collection
2023-06-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0879
DROUGHT-IC
Form and Instruction
Attachment A_Instrument- Word Version.docx
Other-WORD
0920-0879 DROUGHT Preparedness and Response Assessment Tool (DEMO)
Attachment B_Instrument_web version.docx
Form and Instruction
DROUGHT-SSA.docx
SupSta A
IC Document
DROUGHT-SSB.docx
SupSta B
IC Document
Attachment C_Invitation Email.docx
Att C_ Invitation E-mail
IC Document
Attachment D_Reminder Email.docx
Att D_Reminder E-mail
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DROUGHT-IC
Agency IC Tracking Number:
0920-0879-18AWB
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 and Instruction
0920-0879
DROUGHT Preparedness and Response Assessment Tool (DEMO)
Attachment B_Instrument_web version.docx
Yes
Yes
Fillable Printable
Other-WORD
Attachment A_Instrument- Word Version.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,440
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,440
0
3,440
0
0
0
Annual IC Time Burden (Hours)
1,147
0
1,147
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SupSta A
DROUGHT-SSA.docx
08/14/2018
SupSta B
DROUGHT-SSB.docx
08/14/2018
Att C_ Invitation E-mail
Attachment C_Invitation Email.docx
08/14/2018
Att D_Reminder E-mail
Attachment D_Reminder Email.docx
08/14/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.