Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Biomonitoring Form Modified 8 320 0 Form and Instruction 0920-1175
Birth Defects Prevelance Form Modified 30 1200 0 Form and Instruction 0920-1175
Communication Plan Template Modified 33 66 0 Form and Instruction 0920-1175
Drinking Water Monitoring Form Modified 37 1850 0 Form and Instruction 0920-1175
Emergency Department (ED) Visits Form Modified 37 1480 0 Form and Instruction 0920-1175
Environment Public Health Tracking -- Childhood Blood Lead Poisoning Removed 0 0 0 Form and Instruction 0920-1175
Environmental Public Health Tracking Work Plan - REDCap Modified 33 693 0 Form and Instruction 0920-1175
Hospitalizations Form Modified 37 1480 0 Form and Instruction 0920-1175
Metadata Records Modified 74 1480 0 Form and Instruction 0920-1175
PHA Impact Follow Up - RedCap Modified 66 17 0 Form and Instruction 0920-1175
Performance Measures Report – REDCap Modified 33 660 0 Form and Instruction 0920-1175
Program Accomplishments and Public Health Actions Report – REDCap Modified 66 1320 0 Form and Instruction 0920-1175
Radon Testing Form (combned) Modified 25 1250 0 Form and Instruction 0920-1175
Radon Testing Labs - Radon Testing Form (combined) New 10 500 0 Form and Instruction 0920-1175
Web Statistics Template Modified 33 33 0 Form and Instruction 0920-1175
Total burden requested under this ICR: 522 12349 0  
To view an IC, click on IC Title