Pandemic Response and Safety Program

Pandemic Response and Safety Program (PRS)

Documents and Forms

Document Name Document Type
Pandemic Response and Safety Program Form and Instruction
PRS Specific Terms and Conditions FY2019GDTermsandConditions.pdf Form and Instruction
PRS Specific Checklist Appendix B Activity Checklist_PRS.docx Form and Instruction
PRS Specific Checklist(Tribal) Appendix B Activity Checklist_Tribal SPRS.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Pandemic Response and Safety Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	PRS Specific Terms and Conditions	FY2019GDTermsandConditions.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRS Specific Checklist	Appendix B Activity Checklist_PRS.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRS Specific Checklist(Tribal)	Appendix B Activity Checklist_Tribal SPRS.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	400,000	400,000
Annual IC Time Burden (Hours)	400,000	400,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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