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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Birth Defects Prevelance Form
New
22
1760
0
Form and Instruction
NA
Birth Defects Prevelance Form
Childhood Lead Blood Levels Form
New
18
1440
0
Form and Instruction
NA
Childhood Lead Blood Levels Form
Communications Plan
New
30
600
0
Form and Instruction
NA
Communications Plan Form
Community Drinking Water Monitoring Form
New
30
3600
0
Form and Instruction
NA
Community Drinking Water Monitoring Form
Earned Value Management Report
New
120
4800
0
Form and Instruction
NA
Earned Value Management Report Form
Emergency Department Visits Form
New
26
2080
0
Form and Instruction
NA
Emergency Department Visits Form
Evaluation and Performance Measurement Strategy Report
New
30
600
0
Form and Instruction
NA
Evaluation and Measurement Strategy Report Form
Hospitalizations
New
30
2400
0
Form and Instruction
NA
Hospitalizations Form
Metadata Records
New
180
3600
0
Form and Instruction
NA
Metadata Records Form
Program Management Tool - New Awardees
New
104
2080
0
Form and Instruction
NA
Program Management Tool (New Awardees) Form
Publilc Health Action Report - Existing Awardees
New
16
320
0
Form and Instruction
NA
Public Health Action Report (Existing Awardees) Form
Radon Testing
New
16
1920
0
Form and Instruction
NA
Radon Testing Form
Website Analytics
New
120
120
0
Form and Instruction
NA
Website Analytics Form
Total burden requested under this ICR:
742
25320
0
To view an IC, click on IC Title