CBLS Aggregate Records Forms

Blood Lead Surveillance System (BLSS) - NIOSH

OMB: 0920-0931

IC ID: 231449

Information Collection (IC) Details

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CBLS Aggregate Records Forms 0920-0931
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0931 Childhood Blood Lead Surveillance (CBLS) Aggregate Records Forms Att5b CBLS Agg Rcrds Frm_20210219.xlsx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136 “Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

1 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 1 0 0 0 0 1
Annual IC Time Burden (Hours) 2 0 0 0 0 2
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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