Information Collection

Highly Pathogenic Avian Influenza (HPAI) Emergency Response Responder Feedback Survey - State, local, and traibal governments

IC 234206 under ICR 201811-0579-006 · OMB 0579-0377.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0377 can be found here:

Documents and Forms

Document Name Document Type
HPAI survey.pdf Other-Online Survey
HPAI Fast Track Submission State.pdf Certification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Highly Pathogenic Avian Influenza (HPAI) Emergency Response Responder Feedback Survey - State, local, and traibal governments	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 1-199 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey			HPAI survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Certification	HPAI Fast Track Submission State.pdf	11/29/2018

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