Information Collection Request

Community Assessment for Public Health Emergency Response (CASPER)

ICR 201609-0920-010 · OMB 0920-1036 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Community Assessment for Public Health Emergency Response (CASPER) addressing the California Drought – Mariposa County, 2016 Form and Instruction New Available
Flood-Related Community Assessment for Public Health Emergency Response (CASPER) – WV, 2016 Form and Instruction Unchanged Available
Attachment H_Burden Memo_final.docx Supplementary Document Uploaded 2016-09-14 Available
InstrumentsFY16Q3.docx Supplementary Document Uploaded 2016-09-14 Available
0920-1036 Change Request Justification FY2016 Q3.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-09-14 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 Available
AttachJ_SampleIntroAndConsent.docx Supplementary Document Uploaded 2014-06-05 Repair queued
I StpsCndctng 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachH_Burden Memo.docx Supplementary Document Uploaded 2014-06-05 Repair queued
G RqstAprvl 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Repair queued
AttachF_SampleFinalReport.pdf Supplementary Document Uploaded 2014-06-05 Repair queued
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 Available
AttachB_60dayFRN.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachA_AuthLegis.pdf Supplementary Document Uploaded 2014-06-05 Available
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
ICR Details
0920-1036 201609-0920-010
Historical Active 201406-0920-005
HHS/CDC 16BDY
Community Assessment for Public Health Emergency Response (CASPER)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/19/2016
Retrieve Notice of Action (NOA) 09/16/2016
Previous terms continue: 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 12/31/2017 12/31/2017
9,600 0 9,600
4,731 0 4,731
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. This change request contains the quarterly inventory of burden and instruments.

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 9,600 0 0 0 0
Annual Time Burden (Hours) 4,731 4,731 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new Generic ICR.

$98,328
No
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [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.
09/16/2016