ICR Documents

Document Date Uploaded
ACE Supporting Statement A_Clean March 2.docx 03/05/2015

Document Date Uploaded
ACE Supporting Statement B Clean OMB_March 2 2015.docx 03/05/2015

Title Document Document Type Date Uploaded
Appx 1 Past ACE Investigations Appx 1 Past ACE Investigations.docx Supplementary Document 03/05/2015
Appx 2 General Survey SAMPLE Appx 2 GenSurvey_SAMPLE_March 2_Clean.docx Supplementary Document 03/05/2015
Appx 3 RRR Form SAMPLE Appx 3 RRR Form_SAMPLE.docx Supplementary Document 03/05/2015
Appx 4 HH Survey SAMPLE Appx 4 HHSurvey_SAMPLE_March 2_Clean.docx Supplementary Document 03/05/2015
Appx 5 Hospital Survey SAMPLE Appx 5 HospSurvey_SAMPLE_Clean March 2015.docx Supplementary Document 03/05/2015
Appx 6 Medical Chart Abstraction Form SAMPLE Appx 6 MedChartAbstrct Form_SAMPLE_Clean.docx Supplementary Document 03/05/2015
Att A Authorizing Legislation Combined Att A AuthLegisl-Combined .docx Supplementary Document 09/22/2014
Att B 60 day FRN Att B 60-day FRN 5272014.pdf Supplementary Document 09/22/2014
Att D Request for Assessment of Chemical Exposures (ACE) Investigation Att D Request ACE Investsgtn Form_March 2 2015 Clean.docx Supplementary Document 03/05/2015
Att E ACE Investigation GenIC Advance Notification Email Att E ACE Investigation GenIC Advance Notification Email _Clean March 2 2015.docx Supplementary Document 03/05/2015
Att F ACE Investigations Burden Memo Att F ACE Burden Memo.docx Supplementary Document 03/05/2015
Att G Steps for Conductiong an ACE Investigation Att G Steps for Using Generic Clearance for ACE _Clean March 2 2015.docx Supplementary Document 03/05/2015
Appx 7 Veterinary Chart Abstraction Form SAMPLE Appx 7 VetChartAbstrct Form_SAMPLE.docx Supplementary Document 03/05/2015
Appx 8 Decision Tree for ACE Investigations Appx 8 Decision Tree for ACE Investigations.docx Supplementary Document 03/05/2015
Att C ACE Morbidity and Mortality Weekly Report Article Att C MMWR ChlorExp MetalRecyclngFacility_SAMPLE.pdf Supplementary Document 03/05/2015
Att H ACE Consent Forms SAMPLE Att H ACE Consent Forms_SAMPLE _Clean.docx Supplementary Document 03/05/2015
Att I NCEH-ATSDR Research Determination Att I NCEH-ATSDR Research Determination ACE.pdf Supplementary Document 03/05/2015
ACE Burden Memo - FY2015 Q3 Attachment F. ACE Burden Memo_Methyl Bromide.docx Supplementary Document 09/10/2015
Consent Form Methyl Bromide - FY2015 Q3 Attachment D_ACE Survey Consent Form_Methyl Bromide_Final.docx Supplementary Document 09/10/2015
General Survey_Methyl Bromide - FY2015 Q3 Attachment B_General Survey_Methyl Bromide_FINAL ADULT_4-7-2015.docx Supplementary Document 09/10/2015
FY2016Q2 - Flint Water Exposure Questionnaire Attachment B_Flint Questionnaire-final.doc Supplementary Document 07/20/2016
FY2016Q2 - Follow-Up Rash Investigation Attachment B_Flint Rash Dermatology Follow Up Report Form-final.docx Supplementary Document 07/20/2016
FY2016Q2 - Flint Dermatology Chart Abstraction Form Attachment E_Flint Medical Chart Abstraction Form-final.docx Supplementary Document 07/20/2016
FY2016Q2 - ACE Investigations Burden Memo Attachment F_ACE Investigations Burden Memo.docx Supplementary Document 07/20/2016
Change Request Justification - FY2015 Q3 0923-0051 Change Request Justification FY2015 Q3.docx Justification for No Material/Nonsubstantive Change 09/10/2015
FY2016Q2 - 0920-0051 Change Request Justification 0923-0051 Change Request Justification FY2016 Q3.docx Justification for No Material/Nonsubstantive Change 07/20/2016

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received