Body and Blood Pressure Measures Form

Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS) at Pease International Tradeport, Portsmouth, NH (The Pease Study)

OMB: 0923-0061

IC ID: 234693

Information Collection (IC) Details

View Information Collection (IC)

Body and Blood Pressure Measures Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Body and Blood Pressure Measures P_Att15_BodyBloodPressMeasrForm_20180802.docx Yes No Paper Only

Health Public Health Monitoring

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

542 0
   
Individuals or Households
 
   0 %

  Requested 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 542 0 542 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 1,100 0 1,100 0 0 0

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

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