Information Collection

CBLS Variables -Text Files

IC 231450 under ICR 202405-0920-005 · OMB 0920-0931.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0931 CBLS Variables -Text Files	Form and Instruction
0920-0931 Submission Format for Childhood Blood Lead Surveillance Att5a CBLS Var Text Files_SOC_20231026.docx	Form and Instruction
0920-0931 Submission Format for Childhood Blood Lead Surveillance Att5a CBLS Var Text Files_SOC_20231026.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-0931

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0931	Submission Format for Childhood Blood Lead Surveillance (CBLS) Data Files	Att5a CBLS Var Text Files_SOC_20231026.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0136 âEpidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	264	28	236
Annual IC Time Burden (Hours)	1,056	112	944
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.