Form 0920-0931 ABLES Case Records Form and Brief Narrative Report
Blood Lead Surveillance System (BLSS)
Att7a ABLES Case Records Form.xlsx
ABLES Case Records Form and Brief Narrative Report
OMB: 0920-0931
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0931 can be found here:
Document [xlsx]
Download: xlsx | pdf
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| Attachment 7a. ABLES Case Records Form | ||||||||||||||||||||||
| 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 | |
| * Complete description of each data field is provided in the list of ABLES variables | ||||||||||||||||||||||
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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