Homeless Shelter Staff - Homeless Shelter Modified Screener

SARS-CoV-2 Epidemiologic Data Collections

OMB: 0920-1297

IC ID: 241642

Information Collection (IC) Details

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Homeless Shelter Staff - Homeless Shelter Modified Screener
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Homeless Shelter Modified Screener 9. homeless_homeless shelter modified screener_instrument_OMB (omb)_ko.docx NA No   Paper Only

Disaster Management Emergency Response

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 92812

2,400 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 4,800 0 0 0 0 4,800
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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