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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
Modified
22
1760
0
Form and Instruction
none
Birth Defects Prevalence
Childhood Lead Blood Levels Form
Unchanged
18
1440
0
Form and Instruction
NA
Childhood Lead Blood Levels Form
Communications Plan
Unchanged
30
600
0
Form and Instruction
NA
Communications Plan Form
Community Drinking Water Monitoring Form
Unchanged
30
3600
0
Form and Instruction
NA
Community Drinking Water Monitoring Form
Emergency Department Visits Form
Modified
26
2080
0
Form and Instruction
none
Emergency Department Visits
Environmental Public Health Tracking Work Plan Template
Modified
52
1144
0
Form and Instruction
NA
Program Management Tool (New Awardees) Form
Form and Instruction
none
Environmental Public Health Tracking Work Plan Template
Evaluation and Performance Measurement Strategy Report
Unchanged
30
600
0
Form and Instruction
NA
Evaluation and Measurement Strategy Report Form
Hospitalizations
Modified
30
2400
0
Form and Instruction
none
Hospitalizations
Metadata Records
Modified
180
3600
0
Form and Instruction
none
Metadata Records
Publilc Health Action Report - Existing Awardees
Unchanged
104
1040
0
Form and Instruction
NA
Public Health Action Report (Existing Awardees) Form
Radon Testing
Unchanged
16
1920
0
Form and Instruction
NA
Radon Testing Form
Website Analytics
Unchanged
60
60
0
Form and Instruction
NA
Website Analytics Form
Total burden requested under this ICR:
598
20244
0
To view an IC, click on IC Title