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View Information Collection (IC)

View Information Collection (IC)

Exposure to Arsenic and Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire 0920-1173-21BM
 
New
 
Voluntary
 

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

Health Illness Prevention

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

1,650 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 2,310 0 2,310 0 0 0
Annual IC Time Burden (Hours) 544 0 544 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 01/15/2021
Supporting Statement B 01/15/2021
GenIC Request Form 01/15/2021
Consent Form 01/15/2021
Letters of Collaboration 01/15/2021
Participant Reuslts Letter 01/15/2021
Non-Research Determination 01/15/2021
Revised Supporting Statement A 03/09/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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