OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State and Local Environmental Public Health Employees Usage of Public Health Assessments and Consultations Documents

IC 205658 under ICR 201110-0920-004 · OMB 0920-0879.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State and Local Environmental Public Health Employees Usage of Public Health Assessments and Consultations Documents
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction ATSDR Attachment F Clearance Process Evaluation Executive Summary.docx Yes Yes Fillable Printable
Instruction ATSDR Attachment G Community Report Redesign_A.pdf Yes Yes Printable Only
Instruction ATSDR Attachment J Phone Screener.doc Yes Yes Printable Only
Instruction ATSDR Attachment H Health Consultation Brochure Redesign_B.ppt Yes Yes Printable Only
Instruction ATSDR Attachment I HC Redesign Template_C.pdf Yes Yes Printable Only
Instruction ATSDR Attachment K Focus Group Data Collection Tool.doc Yes Yes Printable Only
Instruction ATSDR Attachment L FOCUS GROUP CONFIRMATION EMAIL.docx Yes Yes Printable Only
Instruction ATSDR Attachment M Focus Group Reminder Script.docx Yes Yes Printable Only

Health Immunization Management

 

150 0
   
State, Local, and Tribal Governments
 
   0 %

  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 150 0 0 0 0 0
Annual IC Time Burden (Hours) 125 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ATSDR Supporting_Statement_B ATSDR Supporting_Statement_B.docx 01/15/2013
ATSDR Attachment A CERCLA Authorizing Legislation ATSDR Attachment A CERCLA Authorizing Legislation.pdf 01/15/2013
ATSDR Attachment B RCRA Legislation ATSDR Attachment B RCRA Legislation.pdf 01/15/2013
ATSDR Attachment C National Priorities List ATSDR Attachment C National Priorities List.docx 01/15/2013
ATSDR Attachment D Oak Ridge Y-12_PHA ATSDR Attachment D Oak Ridge Y-12_PHA.pdf 01/15/2013
ATSDR Attachment E MidlothianAreaAirQuality_HC ATSDR Attachment E MidlothianAreaAirQuality_HC.pdf 01/15/2013
ATSDR Supporting_Statement_A ATSDR Supporting_Statement_A.docx 01/22/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.