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Environmental Public Health Tracking Work Plan Template

IC 222650 under ICR 202503-0920-007 · OMB 0920-1175.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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Environmental Public Health Tracking Work Plan Template 0920-1175
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1175 Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance Work Plan Template Att5B Work Plan (Redcap Form).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

37 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 37 0 0 0 0 37
Annual IC Time Burden (Hours) 777 0 0 0 0 777
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
WORPLAN Att5A - Work Plan.pdf 06/09/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.