Environment Public Health Tracking -- Childhood Blood Lead Poisoning

[NCEH] Environmental Public Health Tracking Network (Tracking Network)

Documents and Forms

Document Name Document Type
Form 0920-1175 Environment Public Health Tracking -- Childhood Blood Lead Poisoning Form and Instruction
0920-1175 Environmental Public Health Tracking - CHILDHOOD BLOOD L Att4B Childhood Lead Blood Level Form.docx Form and Instruction
0920-1175 Environmental Public Health Tracking - CHILDHOOD BLOOD L Att4B Childhood Lead Blood Level Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Environment Public Health Tracking -- Childhood Blood Lead Poisoning	Agency IC Tracking Number:	02-1175

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	0920-1175	Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING	Att4B Childhood Lead Blood Level Form.docx	NA	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	37	19	18
Annual IC Time Burden (Hours)	1,480	40	1,440
Annual IC Cost Burden (Dollars)	0	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.