Information Collection

Childhood Lead Poisoning Prevention Program And Laboratory Lead Activity Quarterly Reports

IC 165664 under ICR 197812-0920-001 · OMB 0920-0023.

Documents and Forms

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Document Name	Document Type

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IC Title:

CHILDHOOD LEAD POISONING PREVENTION PROGRAM AND LABORATORY LEAD ACTIVITY QUARTERLY REPORTS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 7.21.1,				No	No
Form	7.21.2				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 644

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	644	-224	868
Annual IC Time Burden (Hours)	12,112	352	11,760
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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