CDC Water and Health Study (paper questionnaire)

Epidemiologic Study of Health Effects Associated with Low Pressure Events in Drinking Water Distribution Systems

OMB: 0920-0960

IC ID: 204802

Information Collection (IC) Details

View Information Collection (IC)

CDC Water and Health Study (paper questionnaire) 0920-0960
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0960 CDC Water and Health Study (paper-based) J.SurveyPaper.pdf No   Paper Only

Health Illness Prevention

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62821

240 0
   
Individuals or Households
 
   0 %

  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 240 0 -975 0 1,215 0
Annual IC Time Burden (Hours) 48 0 -195 0 243 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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