Information Collection Request
[NCCDPHP] National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level
ICR 202312-0920-006 · OMB 0920-1319 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-1319 Instructions to Update the Fluoridation Status and Population Data |
Form and Instruction | Modified | Repair queued |
 1319 Att 2e Respondent Reminders.docx |
Supplementary Document | Uploaded 2024-01-25 | Repair queued |
 1319 Att 4 IRB exemption determination.pdf |
Supplementary Document | Uploaded 2024-01-25 | Repair queued |
| SSB_WFRS.docx |
Supporting Statement B | Uploaded 2024-01-25 | Repair queued |
| SSA WFRS.docx |
Supporting Statement A | Uploaded 2024-01-26 | Repair queued |
| 4a_Privacy Narrative_WFRS_2024.pdf |
Supplementary Document | Uploaded 2024-01-25 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 239186 |  Email Invite Fluoride Testing data |
Other-Email to States to Invite them to submit Fluoride Testing | Modified | |
| 239185 | Instructions to Update the Fluoridation Status and Population Data |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1319 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202001-0920-003 |
| Agency Tracking No | 0920-1319 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |