[CPR] Association of Southeast Asia Nations (ASEAN) Public Health Emergency Management (PHEM) Emerging Leaders Program (ELP) Survey

[OS] CDC/ATSDR Formative Research and Tool Development

Documents and Forms

Document Name Document Type
Form 0920-25-0125 [CPR] Association of Southeast Asia Nations (ASEAN) Public Health Emergency Management (PHEM) Emerging Leaders Program (ELP) Survey Form
0920-25-0125 ASEAN PHEM WLP Survey Att1-ASEAN PHEM ELP Survey.docx Form
ORR-0920-1154-GenIRequest-GEMCD PHEM ASEAN ELP_final.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	[CPR] Association of Southeast Asia Nations (ASEAN) Public Health Emergency Management (PHEM) Emerging Leaders Program (ELP) Survey	Agency IC Tracking Number:	0920-25-0125

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
Form	0920-25-0125	ASEAN PHEM WLP Survey	Att1-ASEAN PHEM ELP Survey.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: 16	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	ORR-0920-1154-GenIRequest-GEMCD PHEM ASEAN ELP_final.docx	06/12/2025

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