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 0920-1175
Childhood Lead Blood Levels Form Modified 18 1440 0 Form and Instruction 0920-1175
Communications Plan Modified 30 600 0 Form and Instruction none
Community Drinking Water Monitoring Form Modified 30 3000 0 Form and Instruction 0920-1175
Emergency Department Visits Form Modified 30 2400 0 Form and Instruction 0920-1175
Environmental Public Health Tracking Work Plan Template Modified 30 1200 0 Form and Instruction none
Hospitalizations Modified 30 2400 0 Form and Instruction 0920-1175
Metadata Records Modified 180 3600 0 Form and Instruction 0920-1175
Performance Measurement Strategy Report New 30 600 0 Form and Instruction none
Publilc Health Action Report - Existing Awardees Modified 120 2400 0 Form and Instruction none
Radon Testing Modified 18 1800 0 Form and Instruction 0920-1175
Tracking Program Grantee Partnership Plan Template Instructions Modified 30 600 0 Form and Instruction none
Website Analytics Modified 60 60 0 Form and Instruction none
Total burden requested under this ICR: 628 21860 0  
To view an IC, click on IC Title