Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing

Documents and Forms

Document Name Document Type
Supporting Statement 0920-05AD 11-22-05 Lead NCEH (final).doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Helping to End Lead Poisoning: A Study of Medicaid Providers' Self-Reported Attitudes, Practices, Beliefs, & Barriers to Childhood Blood Lead Testing	Agency IC Tracking Number:

Is this a Common Form? No		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
Instruction			Supporting Statement 0920-05AD 11-22-05 Lead NCEH (final).doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	110	-40	150
Annual IC Time Burden (Hours)	18	-7	25
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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