Information Collection

NCEH/ATSDR Exposure Investigations (EI)

IC 43625 under ICR 200907-0923-001 · OMB 0923-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0040 can be found here:

Documents and Forms

Document Name Document Type
Att_2 Revised_Library_of_Chemical_Exposure_Questions_0923-00401.docx Other-WORD
Att 2.Revision Abstract_0923-0040.doc Other-WORD
Att 7. Revision_Comparison_ Exposure Investigation Library_0923-0040.doc Att 7 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCEH/ATSDR Exposure Investigations (EI)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-WORD			Att 2.Revision Abstract_0923-0040.doc		Yes	Yes	Fillable Printable
Other-WORD			Att_2 Revised_Library_of_Chemical_Exposure_Questions_0923-00401.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-19-001 Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances (ATSDR)	FR Citation: 57 FR 62814

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 7	Att 7. Revision_Comparison_ Exposure Investigation Library_0923-0040.doc	07/07/2009

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