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View Information Collection (IC)

View Information Collection (IC)

Blood Lead and Urine Arsenic Levels in Anaconda, MT - Exposure Investigation 0923-0048-18AXF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0048 NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

09-19-0001 - Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances  76 FR 4431

200 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 200 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 08/31/2018
Supporting Statement B 08/31/2018
Privacy Act Statement - Anaconda MT 08/31/2018
Adult Consent Form 08/31/2018
Parental Permission Form - Children Younger than 18 Years of Age 08/31/2018
Assent Form - Children Younger than 18 Years of Age 08/31/2018
Anaconda MT - Research Determination 08/31/2018
Example Results Letter - Anacomnda MT 08/31/2018
Anaconda MT PIA Request 08/31/2018
GenIC submission Form 08/31/2018
Anaconda MT EI Protocol 08/31/2018
Anaconda MT Testing - Postcard 08/31/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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