Information Collection Request
ICR 202004-0923-001 · OMB 0923-0057 · Public filing
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0923-0057 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 ATSDR Recommendation Follow-up Form |
Form and Instruction | New | Available |
| ATSDR SoilSHOP Form |
Form and Instruction | New | Available |
| CSPECE Quantitative Form |
Form and Instruction | New | Available |
| CSPECE Qualitative Narrative Reporting Supplement |
Form and Instruction | New | Available |
| Success Story Form |
Form and Instruction | Modified | Available |
| APPLETREE Annual Performance Report (APR) |
Form and Instruction | Modified | Available |
| Site Impact Assessment Form |
Form and Instruction | Modified | Available |
| Technical Assist Details |
Form and Instruction | Modified | Available |
| Health Education (screenshots) |
Form and Instruction | Modified | Available |
 Att6 APPLETREE Research & PRA Determination.pdf |
Supplementary Document | Uploaded 2020-04-17 | Available |
| Att5 APPLETREE PIA CPO signed.pdf |
Supplementary Document | Uploaded 2020-04-17 | Available |
| Att3 APPLETREE NOFO CDC-RFA-TS20-2001.pdf |
Supplementary Document | Uploaded 2020-04-17 | Available |
| Att2 60-day FRN APPLETREE Revision.pdf |
Supplementary Document | Uploaded 2020-04-17 | Available |
| Att1 Authorizing Legislation CERCLA.pdf |
Supplementary Document | Uploaded 2020-04-17 | Available |
 SSB APPLETREE PMs 20200408.docx |
Supporting Statement B | Uploaded 2020-04-17 | Available |
| SSA APPLETREE PMs 20200408.docx |
Supporting Statement A | Uploaded 2020-04-17 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 241391 |  ATSDR Recommendation Follow-up |
Form and Instruction | New | ATSDR Recommendation Follow-up Form |
| 241388 | ATSDR SoilSHOPS Form |
Form and Instruction | New | ATSDR SoilSHOP Form |
| 241385 | CSPECE Quantitative Form |
Form and Instruction | New | CSPECE Quantitative Form |
| 241384 | CSPECE Qualitative Narrative Form |
Form and Instruction | New | CSPECE Qualitative Narrative Reporting Supplement |
| 226338 | ATSDR Success Story Form |
Form and Instruction | Modified | Success Story Form |
| 226338 | ATSDR Success Story Form |
Other-Word document to display instrument content | Modified | |
| 226337 | APPLETREE Annual Progress Report (APR) |
Form and Instruction | Modified | APPLETREE Annual Performance Report (APR) |
| 226337 | APPLETREE Annual Progress Report (APR) |
Instruction | Modified | |
| 226336 | ATSDR Site Impact Assessment Form |
Form and Instruction | Modified | Site Impact Assessment Form |
| 226336 | ATSDR Site Impact Assessment Form |
Other-Word document to display instrument content | Modified | |
| 226335 | ATSDR Technical Assistance (TA) Activity Form |
Form and Instruction | Modified | Technical Assist Details |
| 226335 | ATSDR Technical Assistance (TA) Activity Form |
Other-Word document to display instrument content | Modified | |
| 226334 | ATSDR Health Education Activity Tracking (HEAT) Form |
Form and Instruction | Modified | Health Education (screenshots) |
| 226334 | ATSDR Health Education Activity Tracking (HEAT) Form |
Other-Word document to display instrument content | Modified |
ICR Details
| OMB Control No | 0923-0057 |
|---|