Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Birth Defects Prevelance Form Modified 22 1760 0 Form and Instruction none
Childhood Lead Blood Levels Form Unchanged 18 1440 0 Form and Instruction NA
Communications Plan Unchanged 30 600 0 Form and Instruction NA
Community Drinking Water Monitoring Form Unchanged 30 3600 0 Form and Instruction NA
Emergency Department Visits Form Modified 26 2080 0 Form and Instruction none
Environmental Public Health Tracking Work Plan Template Modified 52 1144 0 Form and Instruction NA
Form and Instruction none
Evaluation and Performance Measurement Strategy Report Unchanged 30 600 0 Form and Instruction NA
Hospitalizations Modified 30 2400 0 Form and Instruction none
Metadata Records Modified 180 3600 0 Form and Instruction none
Publilc Health Action Report - Existing Awardees Unchanged 104 1040 0 Form and Instruction NA
Radon Testing Unchanged 16 1920 0 Form and Instruction NA
Website Analytics Unchanged 60 60 0 Form and Instruction NA
Total burden requested under this ICR: 598 20244 0  
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