Adult Blood Lead Epidemiology and Surveillance (ABLES) C
Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES)
Att5c ABLES Case Records Form and Brf Narrative Rpt.xlsx
ABLES Case Records Form and Brief Narrative Report
OMB:
Document [xlsx]
Download: xlsx | pdf
| Attachment 5c. Adult Blood Lead Epidemiology and Surveillance (ABLES) Case Records Form and Brief Narrative Report | |||||||||||||||||||||
|
|||||||||||||||||||||
| StateRep | StateRes | CountyRes | StateExp | CountyExp | ID | Status | BLL Date | Date Type | BLL | BLL2 | DOB | Age | Sex | Ethnicity | Race | WorkRel | NAICS Year | NAICS | COC Year | COC | Process |
| XX | 99 | 999 | 99 | 999 | 1 | 4 | 1/24/2017 | 1 | 15 | 1/20/2016 | 1 | 1 | 9 | 9 | 9 | 2012 | 212222 | 2000 | 990 | 1;Target shooter | |
| XX | 99 | 999 | 99 | 999 | 2 | 4 | 1/24/2017 | 1 | 15 | 1/21/2015 | 2 | 1 | 9 | 9 | 9 | 2012 | 212222 | 2000 | 990 | 1;Target shooter | |
| *fictional numbers where State XX submits individual level data | |||||||||||||||||||||
|
|||||||||||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
© 2025 OMB.report | Privacy Policy