View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[CSTLTS / NCEH] Exploration of CDC and WIC Partnerships for Childhood Lead Poisoning Prevention	Agency IC Tracking Number:	0920-0879-23CW

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	CLPPP-WIC Workgroup Interview Questions	Attachment A CLPPP-WIC Workgroup Interview Questions.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 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	62	0	62	0	0	0
Annual IC Time Burden (Hours)	36	0	36	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	CLPPP-WIC SSA.docx	02/23/2023
Supporting Statement Part B	CLPPP-WIC SSB.docx	02/23/2023
Invitation Email	Attachment B Invitation Email.docx	02/23/2023
Invitation Email Reminder	Attachment C Invitation Email Reminder.docx	02/23/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.