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Examining the Use of Climate Change Health Indicators by Health Departments in Adaptation Planning
ASPE Generic Clearance for the Collection of Qualitative Research and Assessment
OMB: 0990-0421
IC ID: 220836
OMB.report
HHS/HHSDM
OMB 0990-0421
ICR 201704-0990-009
IC 220836
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:
2024-03-27 - No material or nonsubstantive change to a currently approved collection
2024-02-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0421Attachment A_Climate_Change_II_Webinar_Guide (2).docx
Other-guide
0990-0421SSA_Climate Change and Health_OMB generic.docx
Support statement A
IC Document
0990-0421SSB_Climate Change and Health OMB generic.docx
Suppt st. B
IC Document
0990-0421OMB Cover Sheet_CC and Health Indicators.doc
Memo
IC Document
0990-0421Attachment B_Climate_Change_II_Webinar_Consent_Form.docx
consent form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Examining the Use of Climate Change Health Indicators by Health Departments in Adaptation Planning
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-guide
0990-0421Attachment A_Climate_Change_II_Webinar_Guide (2).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
25
0
0
0
0
25
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Support statement A
0990-0421SSA_Climate Change and Health_OMB generic.docx
04/01/2016
Suppt st. B
0990-0421SSB_Climate Change and Health OMB generic.docx
04/01/2016
Memo
0990-0421OMB Cover Sheet_CC and Health Indicators.doc
04/01/2016
consent form
0990-0421Attachment B_Climate_Change_II_Webinar_Consent_Form.docx
04/01/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.