Phlebotomist Safety Exclusion Questions

Characterization of Exposure Potential during Activities Conducted on Synthetic Turf with Crumb Rubber Infill

OMB: 0923-0058

IC ID: 226777

Information Collection (IC) Details

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Phlebotomist Safety Exclusion Questions
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Phlebotomist Safety Exclusion Questions Att4g Phlebotomist Safety Exclusion Questions Form_Final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Record of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances  76 FR 4432

27 0
   
Individuals or Households
 
   100 %

  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 27 0 0 0 0 27
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 6 0 0 0 0 6

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