Information Collection Request

Community Assessment for Public Health Emergency Response (CASPER)

ICR 201406-0920-005 · OMB 0920-1036 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Flood-Related Community Assessment for Public Health Emergency Response (CASPER) – WV, 2016 Form and Instruction New Available
N_WeightAnalyses 12082014 Clean.docx Supplementary Document Uploaded 2014-12-10 Repair queued
AttachM_SamplePaper.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachL_SamplePressRelease.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachK_SampleFrameAndMap.docx Supplementary Document Uploaded 2014-06-05 Repair queued
AttachJ_SampleIntroAndConsent.docx Supplementary Document Uploaded 2014-06-05 Available
I StpsCndctng 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Repair queued
AttachH_Burden Memo.docx Supplementary Document Uploaded 2014-06-05 Available
G RqstAprvl 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachF_SampleFinalReport.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachE_SampleReferralForm.pdf Supplementary Document Uploaded 2014-06-05 Repair queued
AttachD_SampleTrackingForm.pdf Supplementary Document Uploaded 2014-06-05 Available
C SmplQnr 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Repair queued
AttachB_60dayFRN.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachA_AuthLegis.pdf Supplementary Document Uploaded 2014-06-05 Repair queued
CASPER SupStB 12082014 Clean.docx Supporting Statement B Uploaded 2014-12-10 Available
CASPER SupStA 12052014 Clean.docx Supporting Statement A Uploaded 2014-12-10 Available
IC Document Collections
ICR Details
0920-1036 201406-0920-005
Historical Active
HHS/CDC 0920-14RJ
Community Assessment for Public Health Emergency Response (CASPER)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/11/2014
Retrieve Notice of Action (NOA) 06/09/2014
The agency is reminded that If a 24- or 72-hour OMB approval is requested, an explanation must be provided as to why it is needed. Specifically, CDC must make a case as to why collection must begin within 24 to 72 hours, and it must be related to a public health need.
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved
9,600 0 0
4,731 0 0
0 0 0

Community Assessment for Public Health Emergency Response (CASPER) is an effective public health tool designed to quickly provide low-cost, household-based information about a community's needs and health status in a simple, easy-to-understand format for decision-makers. CASPER uses well established, valid epidemiological methods to determine the health status and basic needs of the affected community, allowing officials to prioritize responses and make informed decisions regarding the distribution of resources.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  79 FR 18553 04/02/2014
79 FR 32959 06/09/2014
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,600 0 0 9,600 0 0
Annual Time Burden (Hours) 4,731 0 0 4,731 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new Generic ICR.

$98,328
No
No
No
No
No
Uncollected
Carol Marsh 404 639-4773 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/09/2014