CBLS Variables -Text Files

Blood Lead Surveillance System (BLSS)

Documents and Forms

Document Name Document Type
Form 0920-0931 CBLS Variables -Text Files Form and Instruction
Form 0920-0931 CBLS Variables -Text Files Form and Instruction
0920-0931 Submission Format for Childhood Blood Lead Surveillance Att5a CBLS Var Text Files_SOC_20210219.docx Form and Instruction
0920-0931 Submission Format for Childhood Blood Lead Surveillance Att5a CBLS Var Text Files_SOC_20210219.docx Form and Instruction

Information Collection (IC) Details

IC Title:	CBLS Variables -Text Files	Agency IC Tracking Number:	0920-0931

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0931	Submission Format for Childhood Blood Lead Surveillance (CBLS) Data Files	Att5a CBLS Var Text Files_SOC_20210219.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 “Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	236	236
Annual IC Time Burden (Hours)	944	944
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.