Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Following Hurricane Maria Hospital Recovery Survey Wave 2

Generic Clearance for Community Resilience Data Collections

Documents and Forms

Document Name Document Type
Hospital-Survey_Wave 2 - QualtricsScreenshots.pdf Other-
Hospital-Survey_Instrument_Wave2_PRA-Application_08Mar2023.docx Other-
Hospital-Survey_Supporting-Statement_Wave2_PRA-Application.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	HURRICANE MARIA RECOVERY OF CRITICAL SOCIAL FUNCTIONS PROJECT: HOSPITAL RECOVERY FOLLOWING HURRICANE MARIA HOSPITAL RECOVERY SURVEY WAVE 2	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-			Hospital-Survey_Wave 2 - QualtricsScreenshots.pdf		Yes	Yes	Fillable Fileable
Other-			Hospital-Survey_Instrument_Wave2_PRA-Application_08Mar2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

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	Previously Approved
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_Wave2_PRA-Application.docx	03/16/2023

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