FORM APPROVED OMB
	NO. 0920-0576 EXP
	DATE xx/xx/xxxx
Incident Response Plan
An individual or entity required to register under this part must develop and implement a written incident response plan based upon a site specific risk assessment. The incident response plan must be coordinated with any entity-wide plans, kept in the workplace, and available to employees for review (42 CFR 73.14 (a)). CDC has not developed standardized forms to use in the above situation. Rather, the entity should provide the information as requested in the appropriate section of the regulation.
.
 
	Public Reporting Burden
	Public reporting
	burden of providing this information is estimated to average 5 hours
	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 documents regarding this
	burden estimate or any other aspect of this collection of
	information, including suggestions for reducing this burden to
	CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74,
	Atlanta, Georgia 30333; ATTN: PRM (0920-0576).
| File Type | application/msword | 
| Author | shari steinberg | 
| Last Modified By | Bane, Lori (CDC/OPHPR/DSAT) | 
| File Modified | 2015-07-13 | 
| File Created | 2015-07-13 |