Information Collection Request

Understanding the Needs, Challenges, Opportunities, Vision and Emerging Roles in Environmental Health (UNCOVER EH)

ICR 201701-0920-003 · OMB 0920-1187 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
UNCOVER EH Survey Form and Instruction New Available
Health Department Roster Form Form and Instruction New Available
UNCOVER EH Survey - SSB clean.docx Supporting Statement B Uploaded 2017-01-11 Available
UNCOVER EH Survey - SSA clean.docx Supporting Statement A Uploaded 2017-01-11 Available
Attachment 7. IRB Exemption Determination Letter.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 6. Study Protocol.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 4e. Final Notice Email.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 4d. Reminder Email.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 4c. Thanks-Reminder Email.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 4b. Invitation Email.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 4a. Pre-Survey Email.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 2b. Program Response.docx Supplementary Document Uploaded 2017-01-10 Available
Attachment 2a. Public Comment.pdf Supplementary Document Uploaded 2017-01-10 Available
Attachment 2. UNCOVER EH 60 day FRN.pdf Supplementary Document Uploaded 2017-01-10 Repair queued
Att1 UNCOVER_EH Authorizing Legislation.pdf Supplementary Document Uploaded 2017-01-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225219 UNCOVER EH Survey Form and Instruction New
225218 Health Department Roster Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2018 12 Months From Approved
19,231 0 0
8,269 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Health Department Roster Form NA Health Department Roster Form
UNCOVER EH Survey NA UNCOVER EH Survey

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 19,231 0 0 19,231 0 0
Annual Time Burden (Hours) 8,269 0 0 8,269 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No