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
ATSDR Health Education Activity Tracking (HEAT) Form Modified 510 34 0 Form and Instruction n/a
ATSDR Recommendation Follow-up Modified 120 20 0 Form and Instruction n/a
ATSDR Requests Form Modified 90 11 0 Form and Instruction n/a
ATSDR Site Impact Assessment Form Modified 90 11 0 Form and Instruction n/a
ATSDR SoilSHOPS Form Modified 10 1 0 Form and Instruction n/a
ATSDR Success Story Form Modified 120 120 0 Form and Instruction n/a
ATSDR Technical Assistance (TA) Activity Form Modified 510 34 0 Form and Instruction n/a
CSPECE Qualitative Narrative Form Modified 30 30 0 Form and Instruction n/a
CSPECE Quantitative Form Modified 30 15 0 Form and Instruction n/a
Total burden requested under this ICR: 1540 336 0  
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