Information Collection Request
ICR 202307-0920-001 · OMB 0920-1316 · Public filing
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1316 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 240030 |  Record of fish for analysis |
Form | Unchanged | Record of fish for analysis |
| 240030 | Record of fish for analysis |
Form | Unchanged | |
| 240029 | Record of time spent oudoors |
Form | Modified | Record of Time Spent Outdoors - Revised 10JUL2023 |
| 240029 | Record of time spent oudoors |
Form | Modified | Reocrd 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 | Modified | Symptom Survey - Revised 10JUL2023 |
| 240024 | Symptom survey |
Form | Modified | Symptom survey |
| 240024 | Symptom survey |
Form | Modified | |
| 240023 | Screener |
Form | Unchanged | Screening/Baseline Survey |
| 240023 | Screener |
Form | Unchanged | Survey screener |
| 240023 | Screener |
Form | Unchanged |
ICR Details
| OMB Control No | 0920-1316 |
|---|