0920-0931 ABLES Case Records Form
Blood Lead Surveillance System (BLSS) - NIOSH
Att6a ABLES Case Rcrds Frm_20210219.xlsx
OMB: 0920-0931
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0931 can be found here:
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Attachment 6a. ABLES Case Records Form |
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StateRep |
StateRes |
CountyRes |
StateExp |
CountyExp |
ID |
Status |
BLL Date |
Date Type |
BLL |
BLL2 |
DOB |
Age |
Sex |
Ethnicity |
Race |
WorkRel |
NAICS Year |
NAICS |
COC Year |
COC |
Process |
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* Complete description of each data field is provided in the list of ABLES variables |
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File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |