0920-1352 Capability 5

Form Approved

OMB Approval No. 0920-1352

Expiration Date: 10/31/2024

Capability 5

During a mass fatality incident describe public health’s role for

a. Electronic death registration system (EDRS) reporting

b. Issuance of death certificates (select lead, support, or no role)

c. Triggers that prompt public health engagement or activation

d. Identification of sites for interim storage and disposition of human remains

e. Personal protective equipment (PPE) training for medical examiner/coroner (ME/C) fatality management

f. Implementing a tracking system for the identification of recovered remains

Fatality management operation plans include

a. Partner communication

b. Surveillance

c. Mortality reporting

d. Supplies

e. Family call/assistance centers

f. e. Behavioral/ Mental health services

Plans for antemortem data describe

a. Victim identification data collection methods

b. Family notification

c. Dissemination

Public reporting burden of this collection of information is estimated to average 90 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1352).