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Vaccination of Critical Workforce (Immunization Information System)
Operational Readiness Review 2.0
OMB: 0920-1352
IC ID: 247432
OMB.report
HHS/CDC
OMB 0920-1352
ICR 202202-0920-015
IC 247432
( )
Documents and Forms
Document Name
Document Type
Vaccination of Critical Workforce (Immunization Information System)
Form and Instruction
Vaccination of Critical Workforce - Immunization Informa
Att38-Vaccination of Criticical Workforce- IIS.docx
Form and Instruction
Vaccination of Critical Workforce - Immunization Informa
Att38-Vaccination of Criticical Workforce- IIS.docx
Form and Instruction
0920-1352 Vaccination of Critical Workforce IIS 01MAR2022
Att38-Vaccination of Criticical Workforce- IIS-clean.docx
Form and Instruction
0920-1352 Vaccination of Critical Workforce IIS 01MAR2022
Att38-Vaccination of Criticical Workforce- IIS-clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Vaccination of Critical Workforce (Immunization Information System)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
n/a
Vaccination of Critical Workforce - Immunization Information System (IIS)
Att38-Vaccination of Criticical Workforce- IIS.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1352
Vaccination of Critical Workforce IIS 01MAR2022
Att38-Vaccination of Criticical Workforce- IIS-clean.docx
NA
Yes
Yes
Fillable Fileable
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:
62
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
62
0
0
0
0
62
Annual IC Time Burden (Hours)
12
0
0
0
0
12
Annual IC Cost Burden (Dollars)
393
0
0
0
0
393
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.