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Identifying Sources of and Risk Factors for Harmful Algal Bloom Exposures through Poison Control Center Follow-up Questionnaires – United States, 2019 0920-1166-19BMZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1166 NA Yes Yes Fillable Fileable
Form 0920-1166 NA Yes Yes Fillable Fileable
Form 0920-1166 NA Yes Yes Fillable Fileable

Disaster Management Emergency Response

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

150 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 150 0 150 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
GenIC Request Approval Form 0920-1166 07/30/2019
Supporting Statement B 07/30/2019
Consent - Assent 07/30/2019
Research Determination Form 07/30/2019
Burden Table Memo 07/30/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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