Information Collection Request

A Site-Specific Modular Evaluation Instrument for Behavior Outcome Measurement

ICR 200707-0923-001 · OMB unassigned · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Site-Specific Evaluation (pre- and post- intervention evaluation) Form and Instruction New Repair queued
Site-Specific Evaluation (post-intervention evaluation only) Form and Instruction New Repair queued
Support State B and Refs 0923-05AT.doc Supporting Statement B Uploaded 2007-06-22 Repair queued
Attachment K Cooperative Agreement Partners.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment J Consultants.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment I-2 Public Comment and Response.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment I-1 60day FRN.pdf Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment H Overview of Method and Sample Surveys.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment F1 Table Summary of Survey Items.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment F2 PROPOSED Sample Survey 05 11 07RS.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment E Top 20 Substances in CEPS.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment D CERCLA.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment C GPRA.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment B ATSDR Vision.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Attachment A ATSDR Coop Agree Prog Desc.doc Supplementary Document Uploaded 2007-06-22 Repair queued
Support State A 0923-05AT 06.22.07.doc Supporting Statement A Uploaded 2007-06-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181195 Site-Specific Evaluation (pre- and post- intervention evaluation) Form and Instruction New
181194 Site-Specific Evaluation (post-intervention evaluation only) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0







Reginfo record details
  No