Information Collection Request

Environmental Public Health Tracking Network (Tracking Network)

ICR 201902-0920-014 · OMB 0920-1175 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Website Analytics Form and Instruction Unchanged Available
Evaluation and Performance Measurement Strategy Report Form and Instruction Unchanged Available
Communications Plan Form and Instruction Unchanged Available
Publilc Health Action Report - Existing Awardees Form and Instruction Unchanged Available
Environmental Public Health Tracking Work Plan Template Form and Instruction Modified Available
Metadata Records Form and Instruction Modified Available
Radon Testing Form and Instruction Unchanged Available
Hospitalizations Form and Instruction Modified Available
Emergency Department Visits Form Form and Instruction Modified Available
Community Drinking Water Monitoring Form Form and Instruction Unchanged Available
Childhood Lead Blood Levels Form Form and Instruction Unchanged Available
Birth Defects Prevelance Form Form and Instruction Modified Available
ChangeRequest_Tracking_0920-1175.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-02-20 Available
Att12_NCDMrequirementsDocument.pdf Supplementary Document Uploaded 2017-04-05 Available
Att11_TrackingBranchDataManagementProcesses.pdf Supplementary Document Uploaded 2017-04-05 Available
Att10_Tracking_DataSources.pdf Supplementary Document Uploaded 2017-04-05 Available
SSB_Tracking_FINAL_REVISEDJul2018 (clean).docx Supporting Statement B Uploaded 2018-07-16 Available
SSA_Tracking_FINAL_REVISEDFeb2019_clean.docx Supporting Statement A Uploaded 2019-02-20 Available
Att9_Research Determination Tracking signed OS 2.pdf Supplementary Document Uploaded 2016-07-19 Available
Att6_2015 Hopkins Panel Final Report.docx Supplementary Document Uploaded 2016-07-19 Available
Att2 60-day FRN Tracking.pdf Supplementary Document Uploaded 2016-07-19 Available
Att3b_CDC-RFA-EH14-1405.pdf Supplementary Document Uploaded 2016-07-19 Available
Att3a_CDC-RFA-EH14-1403.pdf Supplementary Document Uploaded 2016-07-19 Available
Att1 PHS Act 42 USC §247b(k)(2).doc Supplementary Document Uploaded 2016-07-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222657 Website Analytics Form and Instruction Unchanged
222656 Evaluation and Performance Measurement Strategy Report Form and Instruction Unchanged
222654 Communications Plan Form and Instruction Unchanged
222652 Publilc Health Action Report - Existing Awardees Form and Instruction Unchanged
222650 Environmental Public Health Tracking Work Plan Template Form and Instruction Modified
222649 Metadata Records Form and Instruction Modified
222648 Radon Testing Form and Instruction Unchanged
222646 Hospitalizations Form and Instruction Modified
222533 Emergency Department Visits Form Form and Instruction Modified
222532 Community Drinking Water Monitoring Form Form and Instruction Unchanged
222531 Childhood Lead Blood Levels Form Form and Instruction Unchanged
222530 Birth Defects Prevelance Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2020 04/30/2020 04/30/2020
598 0 598
20,244 0 20,660
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 598 598 0 0 0 0
Annual Time Burden (Hours) 20,244 20,660 0 -416 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No