Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
APPLETREE Annual Progress Report (APR) Unchanged 28 56 2089 Form and Instruction n/a
Instruction
ATSDR Health Education Activity Tracking (HEAT) Form Modified 1036 52 1932 Form and Instruction n/a
Other-WORD document to display instrument content
ATSDR Recommendation Follow-up Unchanged 112 19 696 Form and Instruction n/a
ATSDR Site Impact Assessment Form Unchanged 112 13 487 Form and Instruction n/a
Other-Word document to display instrument content
ATSDR SoilSHOPS Form Unchanged 10 1 44 Form and Instruction n/a
ATSDR Success Story Form Modified 112 56 2089 Form and Instruction n/a
Other-WORD document to display instrument content
ATSDR Technical Assistance (TA) Activity Form Modified 420 35 1305 Form and Instruction n/a
Other-WORD document to display instrument content
CSPECE Qualitative Narrative Form Unchanged 28 28 1044 Form and Instruction n/a
CSPECE Quantitative Form Unchanged 28 7 261 Form and Instruction n/a
Total burden requested under this ICR: 1886 267 9947  
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