Nist Hurricane Maria Study, Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Following Hurricane Maria Hospital Recovery Survey Wave 1

NIST Generic Clearance for Community Resilience Data Collections

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0078 can be found here:

Documents and Forms

Document Name Document Type
Hospital Survey Wave 1 _Instrument.pdf Other-Survey
Hospital Survey Wave 1 _Instrument.pdf Other-Survey
Hospital-Survey_Supporting-Statement_Wave1_PRA-Application.docx Supporting Statement IC Document
Hospital-Survey_Supporting-Statement_Wave1_PRA-Application.docx Supporting Statement IC Document
Hospital-Survey_Recruitment-Letter_Wave-1_PRA-Application.pdf Recruitment Letter IC Document
Hospital-Survey_Recruitment-Letter_Wave-1_PRA-Application.pdf Recruitment Letter IC Document
Hospital-Survey_Wave 1 telephone script.docx Scfipt IC Document
Hospital-Survey_Wave 1 telephone script.docx Scfipt IC Document

Information Collection (IC) Details

IC Title:	NIST HURRICANE MARIA STUDY, HURRICANE MARIA RECOVERY OF CRITICAL SOCIAL FUNCTIONS PROJECT: HOSPITAL RECOVERY FOLLOWING HURRICANE MARIA HOSPITAL RECOVERY SURVEY WAVE 1	Agency IC Tracking Number:	NA

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
Other-Survey			Hospital Survey Wave 1 _Instrument.pdf		No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	Hospital-Survey_Supporting-Statement_Wave1_PRA-Application.docx	06/22/2022
Recruitment Letter	Hospital-Survey_Recruitment-Letter_Wave-1_PRA-Application.pdf	06/22/2022
Scfipt	Hospital-Survey_Wave 1 telephone script.docx	06/22/2022

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