Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
[ASTDR] Training for Home Visitors Assessing Asthma Triggers New 100 58 0 Other-WORD
Other-WORD
[ATSDR] Community Health Center Physician and Non-Physician Discussions on CDC's new Heat Clinical Guidance New 36 36 0 Form and Instruction 0923-0047 Facilitated Community Health Center (CHC) Feedback Session with CHC USER Physicians
Form and Instruction 0923-0047 Facilitated Community Health Center (CHC) Feedback Session with CHC NON-USER Physicians
Form and Instruction 0923-0047 Facilitated Community Health Center (CHC) Feedback Session with CHC USER Non-Physician Clinic Staff
Form and Instruction 0923-0047 Facilitated Community Health Center (CHC) Feedback Session with CHC NON-USER Non-Physician Clinic Staff
[ATSDR] Environmental Health and Land Reuse (EHLR) Immersion Training Pilots New 100 47 0 Form and Instruction None EHLR Training Registration-Pilots
Form and Instruction None EHLR Immersion Community Engagement Knowledge Assessment
Form and Instruction None EHLR Immersion Pilot Training Feedback Form
Other-WORD
Other-WORD
Other-WORD
[ATSDR] Environmental Justice Index Workshop Feedback Surveys New 1320 66 0 Form and Instruction 0923-0047 AttB EJI Breakout Session Survey (online)
Form and Instruction 0923-0047 AttC EJI Use Case Breakout Session Survey (Word)
Form and Instruction 0923-0047 AttD EJI Explorer Demo Session Survey (Word)
[ATSDR] Evaluation of CDC Childhood Lead Poisoning Prevention Program (CLPPP) Annual Recipients Meeting New 1275 213 0 Form and Instruction n/a Meeting Attendees Evaluation Form
Form and Instruction n/a Meeting Presenters Evaluation Form
[ATSDR] Heat and Health Tracker Evaluation Survey New 71 18 0 Form and Instruction 0920 Page 1 Heat and Health Tracker Evaluation Survey
Other-WORD
[ATSDR] Quality Improvements to NSMBB's quality assurance systems, processes, infrastructure, and workflow to create efficiencies and enhance service delivery New 3500 583 0 Form 0923-0047-24FL Laboratorian who submits PT results to NSMBB
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 6402 1021 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title