Information Collection Request

Environmental Health Specialists Network (EHS-NET) Program

ICR 202108-0920-007 · OMB 0920-0792 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
[NCEH] EHS-Net Outbreak Prevention & Response Practices Study Form and Instruction New Available
Att 5- Example of EHS-Net Worker Interview.docx Supplementary Document Uploaded 2021-08-12 Repair queued
Att 6- Example of EHS-Net Observation.docx Supplementary Document Uploaded 2021-08-12 Repair queued
Att 2- Example of EHS-Net Worker Recruiting-Informed Consent.docx Supplementary Document Uploaded 2021-08-12 Repair queued
Att 4- Example of EHS-Net Manager Interview.docx Supplementary Document Uploaded 2021-08-12 Repair queued
Att 1- Example of EHS-Net Manager Informed Consent.docx Supplementary Document Uploaded 2021-08-12 Repair queued
Att 3- Example of EHS-Net Manager Recruiting Script.docx Supplementary Document Uploaded 2021-08-12 Repair queued
AppndxC EHSNet PIA.pdf Supplementary Document Uploaded 2021-08-12 Repair queued
AppndxD EHSNet STARS Dtrmntn.pdf Supplementary Document Uploaded 2021-08-12 Repair queued
AppndxB EHSNet 60D FRN.pdf Supplementary Document Uploaded 2021-08-12 Repair queued
AppndxA EHSNet Auth Legislation.docx Supplementary Document Uploaded 2021-08-12 Missing upstream
1 - SSB EHS-Net 2021.docx Supporting Statement B Uploaded 2021-08-12 Repair queued
1 - SSA EHS-Net 2021_final.docx Supporting Statement A Uploaded 2021-08-12 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
264607 [NCEH] EHS-Net Outbreak Prevention & Response Practices Study Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2021
17,067 17,067
2,532 5,331
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 17,067 17,067 0 0 0 0
Annual Time Burden (Hours) 2,532 5,331 0 -2,799 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No