Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Adult Consent
Modified
1501
250
6079
Form
none
Adult consent
Adult Exposure Assessment Questionnaire
Modified
1501
751
18267
Form
none
Adult-Child Exposure Assessment Questionnaire
Child Assent
Modified
199
33
241
Form and Instruction
none
Child assent
Community Event Evaluation Survey
Modified
815
68
1654
Form
none
Exposure assessment community event survey
EA Participants (All Ages) - Biological Testing Tracking
Modified
1975
658
0
Form
none
EA participants biological testing tracking
Environmental Sample Collection Form
Modified
75
38
457
Form
none
Environmental sample collection form
Environmental Sampling Consent
Modified
75
13
176
Form
none
Consent for environmental sampling
Exposure Questionnaire for Biological Testing - Child Completed
Modified
199
50
360
Form
none
Child exposure assessment
Exposure Questionnaire for Biological Testing - Parent Proxy
Modified
275
69
1675
Form
NA
Exposure Assessment Child
Household Eligibility Screener
Modified
1345
112
2730
Form
none
Household eligibility screener
Household Recruitment Script for Environmental Sampling
Modified
117
10
238
Form
none
Household recruitment script for environmental sampling
Parental Permission
Modified
474
79
1152
Form
none
Parental permission
Total burden requested under this ICR:
8551
2131
33029
To view an IC, click on IC Title