Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Questionnaire Modified 2333 1167 29139 Form and Instruction none
Appointment Reminder Unchanged 3033 253 6312 Form and Instruction n/a
Blood Draw and Urine Collection Unchanged 3033 506 12626 Form and Instruction n/a
Body and Blood Pressure Measures Unchanged 3033 253 6312 Form and Instruction n/a
Child Neurobehavioral Test Battery Unchanged 700 1050 26229 Form and Instruction n/a
Child Questionnaire - Long Form Modified 560 280 6994 Form and Instruction none
Child Questionnaire - Short Form Unchanged 140 35 874 Form and Instruction n/a
Child School Record Abstraction Unchanged 720 240 5386 Form and Instruction n/a
Drinking Water Information Collection (Environmental Protection Agencies) Unchanged 7 49 1186 Form and Instruction n/a
Drinking Water Information Collection (Public Water Purveyors) Unchanged 14 140 3331 Form and Instruction n/a
Eligibility Screening Modified 7982 1330 33231 Form and Instruction 0923-0063
Medical Record Abstraction - Adult Unchanged 2400 800 16927 Form and Instruction n/a
Medical Record Abstraction - Child Unchanged 700 233 4935 Form and Instruction n/a
Medication List Unchanged 3033 152 3788 Form and Instruction n/a
Parent Neurobehavioral Test Battery Unchanged 700 175 4372 Form and Instruction n/a
Request for Child School Record Abstraction Unchanged 690 230 10730 Other-Letter of Request to School Administrator with Study Information
Request for Medical Record Abstraction Unchanged 3010 1003 54860 Other-Letter of Request to Provider with Study Information
Update Contact Information Unchanged 3033 253 6312 Form and Instruction n/a
Total burden requested under this ICR: 35121 8149 233544  
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