Information Collection Request

Assessment of Chemical Exposures (ACE) Investigations

ICR 202105-0923-001 · OMB 0923-0051 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
AppxI Decision Tree for ACE Invstgtn.docx Supplementary Document Uploaded 2021-05-10 Repair queued
AppxH MedChartAbstrct Form SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Repair queued
AppxG HospSurvey SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
AppxF HHSurvey SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Available
AppxE GenSurvey SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
AppxD Epi CASE Survey SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
AppxC ACE Consent Forms SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
AppxB ACE_Eligibility Screener SAMPLE.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
AppxA Summary of ACE Invstgns.docx Supplementary Document Uploaded 2021-05-10 Available
Att7 ACE Rash Report.pdf Supplementary Document Uploaded 2021-05-10 Missing upstream
Att6 ACE Research Determination.pdf Supplementary Document Uploaded 2021-05-10 Missing upstream
Att5c ACE Internal Data Security Confid Manual .docx Supplementary Document Uploaded 2021-05-10 Available
Att5b ACE SSN Approval Form CPO signed 20210205.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att5a ACE PIA Form CPO signed 20210203.pdf Supplementary Document Uploaded 2021-05-10 Repair queued
Att4d Epi CASE Just-in-Time Training Manual .docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att4c ACE External Technical Agreement .docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att4b ACE Rules of Behavior .docx Supplementary Document Uploaded 2021-05-10 Repair queued
Att4a ACE Internal Manual of Procedures .docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att3d Steps for Using Gnric Clrnce ACE Invstgtn.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att3c Burden Memo ACE Invstgtn.docx Supplementary Document Uploaded 2021-05-10 Repair queued
Att3b ACE Invstgtn GenIC Advnc Ntfictn.docx Supplementary Document Uploaded 2021-05-10 Missing upstream
Att3a Request ACE Invstgtn Frm.docx Supplementary Document Uploaded 2021-05-10 Repair queued
Att2 60D FRN ACE Invstgtn.pdf Supplementary Document Uploaded 2021-05-10 Repair queued
Att1 AuthLegisl-Cmbnd ACE Invstgtn.docx Supplementary Document Uploaded 2021-05-10 Repair queued
1 - ACE SSB 20210427.docx Supporting Statement B Uploaded 2021-05-10 Repair queued
1 - ACE SSA 20210427.docx Supporting Statement A Uploaded 2021-05-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
9,630 0
2,454 0
0 0






table that charts list of burden
  Total Request 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 9,630 0 0 3,870 5,760 0
Annual Time Burden (Hours) 2,454 0 0 1,773 681 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No