Information Collection

NCEH/ATSDR Exposure Investigations (EI)

IC 43625 under ICR 201304-0923-001 · OMB 0923-0040.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

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
Other-WORD					Yes	No	Fillable Printable
Other-WORD					Yes	Yes	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 %

table that charts list of burden
	Requested	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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 7		07/07/2009

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

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