ATSDR GENERIC CLEARANCE FOR “ASSESSMENT OF CHEMICAL EXPOSURES (ACE) INVESTIGATIONS”
OMB CONTROL NO. 0923-0051 (EXP. DATE 3/31/2018)
QUARTERLY CHANGE REQUEST
JUSTIFICATION: This is a change request to report the actual burden hours used for ACE Investigations GenICs.
REPORTING PERIOD
FISCAL YEAR: 2016
QUARTER: 2
SUMMARY OF APPROVED NUMBER OF RESPONSES AND BURDEN HOURS |
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|
APPROVED DATES |
DATE OF COLLECTION |
RESPONSES |
BURDEN HOURS |
GENERIC CLEARANCE |
Exp Date 3/31/2018 |
|
3870 |
1773 |
BALANCE REMAINING |
|
|
3358 |
1611 |
GenIC REPORT |
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Flint Rash Investigation1 |
2/25/2016 5/25/2016 |
2/26/2016 5/23/2016 |
390 |
150 (8970/60 minutes) |
122 |
12 (732/60 minutes) |
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Flint Rash Investigation2 (Dermatology Follow-Up) |
4/19/2016 7/18/2016 |
4/20/2016 |
43 |
6 (387/60 minutes) |
GenIC Attachments Attachment B. Flint Questionnaire- final Attachment B. Flint Rash Dermatology Follow-up Report Form - final Attachment E. Flint Medical Chart Abstraction Form - final |
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Attachment F. ACE Investigations Burden Memo
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |