View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Exposure to Arsenic and Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire 0920-1173-19BLL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1173 No   Fillable Fileable
Form and Instruction 0920-1173 No   Fillable Fileable
Form and Instruction 0920-1173 No   Fillable Fileable
Form and Instruction 0920-1173 No   Fillable Fileable

Health Illness Prevention

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

1,900 0
   
Individuals or Households
 
   0 %

  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 1,900 0 1,900 0 0 0
Annual IC Time Burden (Hours) 450 0 450 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letters of Collaboration 08/27/2019
Invitation Letter 08/27/2019
Urine Collection Directions 08/27/2019
Results Letter 08/27/2019
Research Determination Form 08/27/2019
Request for Generic Clearance Form 08/27/2019
SSA 08/27/2019
SSB 08/27/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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