Eligibility Screener

Prospective Birth Cohort Study Involving Environmental Uranium Exposure in the Navajo Nation

OMB: 0923-0046

IC ID: 201792

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Eligibility Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Eligibility Screener Attach 3h Eligibility 2-6-13.docx No No Printable Only

Health Immunization Management

Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances  57 FR 62812

750 0
   
Individuals or Households
 
   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 750 0 0 0 0 750
Annual IC Time Burden (Hours) 63 0 0 0 0 63
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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