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

View Information Collection (IC)

Jasper and Newton Counties Missouri Lead Exposure Investigation 0923-0048-22GN
 
New
 
Voluntary
 

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

Health Consumer Health and Safety

Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances  83 FR 6591

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 426 0 426 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 06/23/2022
SSB 06/23/2022
GenIC Submittal Form 06/23/2022
List of Attachments 06/23/2022
EI Final Report Example 06/23/2022
Factsheet - Fight Lead Poisoning Healthy Foods 06/23/2022
Factsheet - Protect Family From Lead in Home 06/23/2022
Factsheet - Protect Family From Lead in Yard 06/23/2022
Safe Gardening Lead Soil 06/23/2022
Factsheet - Pregnancy and Lead 06/23/2022
PIA 06/23/2022
JNC Exposure Investigation Protocol 06/23/2022
Project Determination 06/23/2022
Background Info 06/23/2022
EI Fact Sheet 06/23/2022
Newton County Recruitment Flyer 06/23/2022
Jasper County Recruitment Flyer 06/23/2022
Social Media Recruitment Content 06/23/2022
Privacy Act Statement 06/23/2022
ATSDR Adult Consent Form 06/23/2022
ATSDR Parental Permission 06/23/2022
ATSDR Child Assent 06/23/2022
MDHHS Consent Form 06/23/2022
EPA Consent Form 06/23/2022
Environmental Sampling Protocols 06/23/2022
EI Health and Safety Plan 06/23/2022
Sample Results Letters 06/23/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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