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Nist Hurricane Maria Study, Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Following Hurricane Maria Hospital Recovery Survey Wave 1
Generic Clearance for Community Resilience Data Collections
OMB: 0693-0078
IC ID: 254056
OMB.report
DOC/NIST
OMB 0693-0078
ICR 202405-0693-005
IC 254056
( )
Documents and Forms
Document Name
Document Type
Hospital Survey Wave 1 _Instrument.pdf
Other-Survey
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_Wave 1 telephone script.docx
Scfipt
IC Document
Information Collection (IC) Details
View Information Collection (IC)
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:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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 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
45
0
0
0
0
45
Annual IC Time Burden (Hours)
19
0
0
0
0
19
Annual IC Cost Burden (Dollars)
0
0
0
0
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.