Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
APPLETREE Annual Progress Report (APR) Modified 30 60 0 Form and Instruction n/a
Instruction
ATSDR Health Education Activity Tracking (HEAT) Form Modified 510 34 0 Form and Instruction n/a
Other-WORD document to display instrument content
ATSDR Recommendation Follow-up Modified 120 20 0 Form and Instruction n/a
ATSDR Requests Form New 90 11 0 Form and Instruction n/a
ATSDR Site Impact Assessment Form Modified 90 11 0 Form and Instruction n/a
Other-Word document to display instrument content
ATSDR SoilSHOPS Form Modified 10 1 0 Form and Instruction n/a
ATSDR Success Story Form Modified 120 60 0 Form and Instruction n/a
ATSDR Technical Assistance (TA) Activity Form Modified 510 34 0 Form and Instruction n/a
Other-WORD document to display instrument content
CSPECE Qualitative Narrative Form Modified 30 30 0 Form and Instruction n/a
CSPECE Quantitative Form Modified 30 8 0 Form and Instruction n/a
Total burden requested under this ICR: 1540 269 0  
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