OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[CPR] Public Health Emergency Management Capacity Assessment Tool (PHEM TOOL)

ICR 202506-0920-004 · OMB 0920-1417 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1417 PHEM Tool - rev 12JUN2025 Form and Instruction Modified Available
PHEM Tool Form and Instruction Modified Available
PHEM Tool Form and Instruction Modified Repair queued
0920-1417-PHEM Tool- NSCR 11June2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-12 Available
0920-1417-PHEM Tool- NSCR 11June2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-06-12 Repair queued
project-summary-0900f3eb820df056-8-15-2023-19_42_7.pdf Supplementary Document Uploaded 2023-09-11 Available
project-summary-0900f3eb820df056-8-15-2023-19_42_7.pdf Supplementary Document Uploaded 2023-09-11 Repair queued
Att2-60-Day FRN PHEM Tool.pdf Supplementary Document Uploaded 2023-09-11 Repair queued
Att2-60-Day FRN PHEM Tool.pdf Supplementary Document Uploaded 2023-09-11 Repair queued
Att 1 -Applicable law or regulation PHSA_42 USC 241.pdf Supplementary Document Uploaded 2023-09-11 Available
Att 1 -Applicable law or regulation PHSA_42 USC 241.pdf Supplementary Document Uploaded 2023-09-11 Repair queued
SSB -ORR-PHEM Tool.docx Supporting Statement B Uploaded 2023-09-11 Available
SSB -ORR-PHEM Tool.docx Supporting Statement B Uploaded 2023-09-11 Repair queued
SSA -ORR- DEO- PHEM Tool- final_final.docx Supporting Statement A Uploaded 2023-09-11 Available
SSA -ORR- DEO- PHEM Tool- final_final.docx Supporting Statement A Uploaded 2023-09-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
262113 PHEM Tool Form and Instruction ModifiedPHEM Tool - rev 12JUN2025
262113 PHEM Tool Form and Instruction ModifiedPHEM Tool
262113 PHEM Tool Form and Instruction Modified
ICR Details
0920-1417 202506-0920-004
Active 202309-0920-004
HHS/CDC 0920-1417-25-0130
[CPR] Public Health Emergency Management Capacity Assessment Tool (PHEM TOOL)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/27/2025
Retrieve Notice of Action (NOA) 06/26/2025
  Inventory as of this Action Requested Previously Approved
10/31/2026 10/31/2026 10/31/2026
12 0 12
72 0 72
0 0 0
The Global Emergency Management Capacity Development (GEMCD) Team provides technical assistance to Global Health Security Agenda priority countries to assist them in developing and maintaining public health emergency management (PHEM) programs and public health emergency operations centers (PHEOCs). The Public Health Emergency Management Capacity Assessment Tool (PHEM Tool) is intended to provide a systematic approach to collecting data pertaining to PHEM programs and PHEOCs in countries where technical support is being provided. Data collected will help GEMCD identify programmatic and PHEOC strengths and weaknesses to guide short- and long-term technical assistance and project planning. This Non-Substantive Change Request is submitted to streamline PHEM Tool and add/remove additional sections to the PHEM Tool to modify language and decrease redundancy. There is no anticipated change to the burden hours.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  88 FR 26546 05/01/2023
88 FR 62795 09/13/2023
Yes
1
IC Title Form No. Form Name
PHEM Tool 0920-1417, n/a PHEM Tool ,   PHEM Tool - rev 12JUN2025
  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 12 12 0 0 0 0
Annual Time Burden (Hours) 72 72 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$7,452
No
    No
    No
No
No
No
No
Jeffrey Zirger 404 639-7118 [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.
06/26/2025