Child School Record Abstraction

[ATSDR] Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study

OMB: 0923-0063

IC ID: 239069

Information Collection (IC) Details

View Information Collection (IC)

Child School Record Abstraction
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Multi-site Study Child School Record Abstraction Form M_Att18c_ChildSchoolRecordAbstrctn_20191212_updt.docx No   Paper Only

Health Public Health Monitoring

SORN 09–19–0001, ‘‘Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances"  76 FR 4432

48 48
   
Private Sector Not-for-profit institutions
 
   0 %

  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 720 0 0 0 0 720
Annual IC Time Burden (Hours) 240 0 0 0 0 240
Annual IC Cost Burden (Dollars) 5,386 0 0 0 0 5,386

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