Information Collection Request

Environmental Public Health Tracking Network (Tracking Network)

ICR 202004-0920-011 · OMB 0920-1175 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Performance Measurement Strategy Report Form and Instruction New Available
Website Analytics Form and Instruction Modified Available
Tracking Program Grantee Partnership Plan Template Instructions Form and Instruction Modified Available
Communications Plan Form and Instruction Modified Available
Publilc Health Action Report - Existing Awardees Form and Instruction Modified Available
Environmental Public Health Tracking Work Plan Template Form and Instruction Modified Repair queued
Form 0920-1175 Metadata Records Form and Instruction Modified Available
Form 0920-1175 Radon Testing Form and Instruction Modified Available
Form 0920-1175 Hospitalizations Form and Instruction Modified Repair queued
Form 0920-1175 Emergency Department Visits Form Form and Instruction Modified Available
Form 0920-1175 Community Drinking Water Monitoring Form Form and Instruction Modified Available
Form 0920-1175 Childhood Lead Blood Levels Form Form and Instruction Modified Available
Form 0920-1175 Birth Defects Prevelance Form Form and Instruction Modified Available
Att6_2015_HopkinsPanelFinalReport.pdf Supplementary Document Uploaded 2020-04-27 Available
Att11_NCDM_RequirmentsDocument_2017.pdf Supplementary Document Uploaded 2020-04-27 Available
Att10_TrackingBranchDataManagementProcesses.pdf Supplementary Document Uploaded 2020-04-27 Available
Att9_Tracking_DataSources.pdf Supplementary Document Uploaded 2020-04-27 Available
Att8_Research Determination_EH17_1702.pdf Supplementary Document Uploaded 2020-04-27 Available
Att7_CDC_NEPHTN_PIA_FORM.pdf Supplementary Document Uploaded 2020-04-27 Available
Att3_CDC-RFA-EH17-1702_20170519.pdf Supplementary Document Uploaded 2020-04-27 Available
Att2_60day_FRN_Tracking 20200210.pdf Supplementary Document Uploaded 2020-04-27 Available
Att1_PHSA Section 243&247.docx Supplementary Document Uploaded 2020-04-27 Available
1-Trckng Rev SSB 20200410.docx Supporting Statement B Uploaded 2020-04-27 Available
1-Trckng Rev SSA 20200410.docx Supporting Statement A Uploaded 2020-04-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241554 Performance Measurement Strategy Report Form and Instruction New
222657 Website Analytics Form and Instruction Modified
222656 Tracking Program Grantee Partnership Plan Template Instructions Form and Instruction Modified
222654 Communications Plan Form and Instruction Modified
222652 Publilc Health Action Report - Existing Awardees Form and Instruction Modified
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 Modified
222646 Hospitalizations Form and Instruction Modified
222533 Emergency Department Visits Form Form and Instruction Modified
222532 Community Drinking Water Monitoring Form Form and Instruction Modified
222531 Childhood Lead Blood Levels Form Form and Instruction Modified
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
07/31/2023 36 Months From Approved 07/31/2020
628 0 598
21,860 0 20,244
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 628 598 0 30 0 0
Annual Time Burden (Hours) 21,860 20,244 0 1,616 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No