[ORR] CDC Threat Agnostic Program Engagement Form

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [ORR] CDC Threat Agnostic Program Engagement Form Form and Instruction
0920-1050 CDC Threat Agnostic Program - Survey Att1-AMD Survey.docx Form and Instruction
Customer Service GenIC Clearance_form_9-4-24.docx 0920-1050 GenIC Request Template IC Document

Information Collection (IC) Details

IC Title:	[ORR] CDC Threat Agnostic Program Engagement Form	Agency IC Tracking Number:	0920-1050-24IR

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 and Instruction	0920-1050	CDC Threat Agnostic Program - Survey	Att1-AMD Survey.docx	N/A	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: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template	Customer Service GenIC Clearance_form_9-4-24.docx	09/12/2024

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