CDC Threat Agnostic Program Engagement Form
Thank you for your interest in CDC's Threat Agnostic Program. We are interested in your feedback regarding the CDC Threat Agnostic Program poster at AMD Days and hearing about your work in this space. Please use the optional questions below provide any information that you would like CDC Threat Agnostic Program POCs to know. By default this form will not record name or contact information. If you would like that to be shared, please complete those fields.
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Paperwork Reduction Act Form Information
Full Name
Email
Which aspects of threat agnostic detection are you currently engaged or planning engagement? 
What do you need to help you and/or the public health community move forward in this space?
Which topic(s) were not discussed at the AMD Days poster which you feel should be addressed?
Do you have any other feedback you would like to share?
Public Reporting Burden Statement

Public reporting burden of this collection of information is estimated to average 3 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 (0920-1050).

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