Information Collection Request

Aerosols from cyanobacterial blooms: exposures and health effects in a highly exposed population

ICR 202307-0920-001 · OMB 0920-1316 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Record of fish for analysis Form Unchanged Available
Record of fish for analysis Form Unchanged Repair queued
Form 0920-1316 Record of Time Spent Outdoors - Revised 10JUL2023 Form Modified Available
Reocrd of time spent outdoors Form Modified Available
Record of time spent oudoors Form Modified Repair queued
Form 0920-1316 Symptom Survey - Revised 10JUL2023 Form Modified Available
Symptom survey Form Modified Available
Symptom survey Form Modified Repair queued
Screening/Baseline Survey Form Unchanged Available
Survey screener Form Unchanged Available
Screener Form Unchanged Repair queued
0920-1316 Change Request Justification 06212023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-07-11 Available
0920-1316 Change Request Justification 06212023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-07-11 Repair queued
0920-1316 Change Request Att 11 Results letter 06212023.docx Supplementary Document Uploaded 2023-07-11 Available
0920-1316 Change Request Att 11 Results letter 06212023.docx Supplementary Document Uploaded 2023-07-11 Repair queued
0929-1316 Change Request Att5 Consent Form 06212023.docx Supplementary Document Uploaded 2023-07-11 Available
0929-1316 Change Request Att5 Consent Form 06212023.docx Supplementary Document Uploaded 2023-07-11 Repair queued
0920-1316 Change Request Att3 Flyer 06212023.docx Supplementary Document Uploaded 2023-07-11 Available
0920-1316 Change Request Att3 Flyer 06212023.docx Supplementary Document Uploaded 2023-07-11 Repair queued
Site restriction lifted 7242 New Submission CDC IRB approval.docx Supplementary Document Uploaded 2020-02-20 Available
Site restriction lifted 7242 New Submission CDC IRB approval.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att15 IRB Approval Memo 20200211.docx Supplementary Document Uploaded 2020-02-20 Available
Att15 IRB Approval Memo 20200211.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att14 Privacy Impact Assessment 20200211.docx Supplementary Document Uploaded 2020-02-20 Available
Att14 Privacy Impact Assessment 20200211.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att13 Results Letter 20200211.docx Supplementary Document Uploaded 2020-02-20 Available
Att13 Results Letter 20200211.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att6 Consent 08JAN2021 CLEAN .docx Supplementary Document Uploaded 2021-01-08 Available
Att6 Consent 08JAN2021 CLEAN .docx Supplementary Document Uploaded 2021-01-08 Repair queued
Att4 Flyer CLEAN 08JAN2021.docx Supplementary Document Uploaded 2021-01-08 Available
Att4 Flyer CLEAN 08JAN2021.docx Supplementary Document Uploaded 2021-01-08 Repair queued
Att10 OMB - approved Incentives 20200128.docx Supplementary Document Uploaded 2020-02-20 Available
Att10 OMB - approved Incentives 20200128.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att2a Public Comments and Program Responses 20200128.docx Supplementary Document Uploaded 2020-02-20 Available
Att2a Public Comments and Program Responses 20200128.docx Supplementary Document Uploaded 2020-02-20 Repair queued
Att2 60 day Federal Register Notice.pdf Supplementary Document Uploaded 2020-02-20 Available
Att2 60 day Federal Register Notice.pdf Supplementary Document Uploaded 2020-02-20 Repair queued
Att1_Public Health Service Act Section 301.docx Supplementary Document Uploaded 2020-02-20 Available
Att1_Public Health Service Act Section 301.docx Supplementary Document Uploaded 2020-02-20 Repair queued
0920-1316 Change Request SSB Cyano Aerosols 06212023.docx Supporting Statement B Uploaded 2023-07-11 Available
0920-1316 Change Request SSB Cyano Aerosols 06212023.docx Supporting Statement B Uploaded 2023-07-11 Repair queued
0920-1316 Change Requet SSA Cyano Aerosol 06212023.docx Supporting Statement A Uploaded 2023-07-11 Available
0920-1316 Change Requet SSA Cyano Aerosol 06212023.docx Supporting Statement A Uploaded 2023-07-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240030 Record of fish for analysis Form UnchangedRecord of fish for analysis
240030 Record of fish for analysis Form Unchanged
240029 Record of time spent oudoors Form ModifiedRecord of Time Spent Outdoors - Revised 10JUL2023
240029 Record of time spent oudoors Form ModifiedReocrd of time spent outdoors
240029 Record of time spent oudoors Form Modified
240028 Personal air sampler Instruction Unchanged
240026 Providing other specimens Instruction Modified
240025 Providing blood specimen Instruction Unchanged
240024 Symptom survey Form ModifiedSymptom Survey - Revised 10JUL2023
240024 Symptom survey Form ModifiedSymptom survey
240024 Symptom survey Form Modified
240023 Screener Form UnchangedScreening/Baseline Survey
240023 Screener Form UnchangedSurvey screener
240023 Screener Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2024 01/31/2024 01/31/2024
2,630 0 2,630
1,272 0 1,272
31,049 0 31,049





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Personal air sampler
Providing blood specimen
Providing other specimens
Record of fish for analysis none
Record of time spent oudoors none, 0920-1316 ,  
Screener none, NA ,  
Symptom survey none, 0920-1316 ,  

table that charts list of burden
  Total Approved 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 2,630 2,630 0 0 0 0
Annual Time Burden (Hours) 1,272 1,272 0 0 0 0
Annual Cost Burden (Dollars) 31,049 31,049 0 0 0 0


Reginfo record details
  No