OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Covid-19 Contact Tracing

IC 242419 under ICR 202102-1601-003 · OMB 1601-0027.

Documents and Forms
Document Name
Document Type
Other-Mock Up
Other-Mock Up
Other-Interview Script
Other-Interview Script
Other-Notifiation Script
Other-Notifiation Script
Information Collection (IC) Details

View Information Collection (IC)

Covid-19 Contact Tracing
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Mock Up COVID-19 Contact Tracing Form.docx Yes Yes Fillable Fileable
Other-Interview Script COVID-19 Contact Tracing Script- Interview of COVID POSITIVE DHS Personnel.docx No   Fillable Fileable
Other-Notifiation Script COVID-19 Contact Tracing Notification Script- DHS Personnel.docx No   Fillable Fileable

Workforce Management Worker Safety

 

500 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 0 500 0
Annual IC Time Burden (Hours) 167 0 0 0 167 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.