Information Collection Request

Environmental Public Health Tracking Network (Tracking Network)

ICR 201607-0920-005 · OMB 0920-1175 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Website Analytics Form and Instruction New Available
Evaluation and Performance Measurement Strategy Report Form and Instruction New Available
Earned Value Management Report Form and Instruction New Available
Communications Plan Form and Instruction New Available
Publilc Health Action Report - Existing Awardees Form and Instruction New Available
Program Management Tool - New Awardees Form and Instruction New Available
Metadata Records Form and Instruction New Available
Radon Testing Form and Instruction New Available
Hospitalizations Form and Instruction New Available
Emergency Department Visits Form Form and Instruction New Available
Community Drinking Water Monitoring Form Form and Instruction New Repair queued
Childhood Lead Blood Levels Form Form and Instruction New Available
Birth Defects Prevelance Form Form and Instruction New Available
Att12_NCDMrequirementsDocument.pdf Supplementary Document Uploaded 2017-04-05 Available
Att11_TrackingBranchDataManagementProcesses.pdf Supplementary Document Uploaded 2017-04-05 Available
Att10_Tracking_DataSources.pdf Supplementary Document Uploaded 2017-04-05 Available
SSB_Tracking_FINAL.docx Supporting Statement B Uploaded 2017-04-05 Available
SSA_Tracking_FINAL.docx Supporting Statement A Uploaded 2017-04-05 Available
Att9_Research Determination Tracking signed OS 2.pdf Supplementary Document Uploaded 2016-07-19 Available
Att6_2015 Hopkins Panel Final Report.docx Supplementary Document Uploaded 2016-07-19 Available
Att2 60-day FRN Tracking.pdf Supplementary Document Uploaded 2016-07-19 Available
Att3b_CDC-RFA-EH14-1405.pdf Supplementary Document Uploaded 2016-07-19 Available
Att3a_CDC-RFA-EH14-1403.pdf Supplementary Document Uploaded 2016-07-19 Available
Att1 PHS Act 42 USC §247b(k)(2).doc Supplementary Document Uploaded 2016-07-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222657 Website Analytics Form and Instruction New
222656 Evaluation and Performance Measurement Strategy Report Form and Instruction New
222655 Earned Value Management Report Form and Instruction New
222654 Communications Plan Form and Instruction New
222652 Publilc Health Action Report - Existing Awardees Form and Instruction New
222650 Program Management Tool - New Awardees Form and Instruction New
222649 Metadata Records Form and Instruction New
222648 Radon Testing Form and Instruction New
222646 Hospitalizations Form and Instruction New
222533 Emergency Department Visits Form Form and Instruction New
222532 Community Drinking Water Monitoring Form Form and Instruction New
222531 Childhood Lead Blood Levels Form Form and Instruction New
222530 Birth Defects Prevelance Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved
742 0 0
25,320 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 742 0 0 742 0 0
Annual Time Burden (Hours) 25,320 0 0 25,320 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No