CBLS Variables - Text Files

Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES)

Documents and Forms

Document Name Document Type
CBLS Variables - Text Files Form and Instruction
Submission Format - Childhood Blood Lead Surveillance (C Att5a CBLS Variables Txt Files 20170914.doc Form and Instruction

Information Collection (IC) Details

IC Title:	CBLS Variables - Text Files	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Submission Format - Childhood Blood Lead Surveillance (CBLS) - Text Files	Att5a CBLS Variables Txt Files 20170914.doc	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 “Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 47	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	752	752
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.