Information Collection Request
[ATSDR] Assessment of Chemical Exposures (ACE) Investigations
ICR 202503-0923-001 · OMB 0923-0051 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 AppxG MedChartAbstrct Form SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Available |
| AppxG MedChartAbstrct Form SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Repair queued |
| AppxE General Survey SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Available |
| AppxE General Survey SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Repair queued |
| AppxD Epi CASE Survey SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Available |
| AppxD Epi CASE Survey SAMPLE clean.docx |
Supplementary Document | Uploaded 2025-03-03 | Repair queued |
| 0923-0051 Change Request Memo_UPDATE - EO14168.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-03 | Available |
| 0923-0051 Change Request Memo_UPDATE - EO14168.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-03 | Repair queued |
| AppxE General Survey SAMPLE_OIRA 11.7.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Available |
| AppxE General Survey SAMPLE_OIRA 11.7.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Repair queued |
| AppxD Epi CASE Survey SAMPLE_OIRA 11.7.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Available |
| AppxD Epi CASE Survey SAMPLE_OIRA 11.7.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Repair queued |
| AppxC Consent Forms_OIRA 11.18.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Available |
| AppxC Consent Forms_OIRA 11.18.24 clean.docx |
Supplementary Document | Uploaded 2024-12-10 | Repair queued |
 Att6 STARS project determination.pdf |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att6 STARS project determination.pdf |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att5 PIA EIWT - QTR3 - 2023 - CDC6794740.pdf |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att5 PIA EIWT - QTR3 - 2023 - CDC6794740.pdf |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att4c CDC DUA Standard Template v1.3.pdf |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att4c CDC DUA Standard Template v1.3.pdf |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att3d Steps for Using Gnric Clrnce ACE Invstgtn.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att3d Steps for Using Gnric Clrnce ACE Invstgtn.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att3c Burden Memo ACE Invstgtn.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att3c Burden Memo ACE Invstgtn.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att4b ACE Rules of Behavior 20210212 track changes.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att4b ACE Rules of Behavior 20210212 track changes.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att4a ACE Internal Manual of Procedures.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att4a ACE Internal Manual of Procedures.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att3b ACE Invstgtn GenIC Advnc Ntfictn.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att3b ACE Invstgtn GenIC Advnc Ntfictn.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att3a Request ACE Invstgtn Frm.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att3a Request ACE Invstgtn Frm.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att2 60D FRN ATSDR-2024-0002.pdf |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att2 60D FRN ATSDR-2024-0002.pdf |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| Att1 AuthLegisl-Cmbnd ACE Inv.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| Att1 AuthLegisl-Cmbnd ACE Inv.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxG MedChartAbstrct Form SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxG MedChartAbstrct Form SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxF HospSurvey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxF HospSurvey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxE General Survey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxE General Survey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxD Epi CASE Survey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxD Epi CASE Survey SAMPLE.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxC Consent Forms.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxC Consent Forms.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxB Eligibility Screener .docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxB Eligibility Screener .docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| AppxA Summary of ACE Invstgns.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| AppxA Summary of ACE Invstgns.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| 1 - ACE List of Attachments.docx |
Supplementary Document | Uploaded 2024-10-02 | Available |
| 1 - ACE List of Attachments.docx |
Supplementary Document | Uploaded 2024-10-02 | Repair queued |
| 1 - ACE SSB 2024.docx |
Supporting Statement B | Uploaded 2024-10-02 | Available |
| 1 - ACE SSB 2024.docx |
Supporting Statement B | Uploaded 2024-10-02 | Repair queued |
| 1 - ACE SSA 2024_OIRA 11.18.24 (002) clean.docx |
Supporting Statement A | Uploaded 2024-12-10 | Available |
| 1 - ACE SSA 2024_OIRA 11.18.24 (002) clean.docx |
Supporting Statement A | Uploaded 2024-12-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/TSDR |
| OMB Control No | 0923-0051 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202410-0923-001 |
| Agency Tracking No | 0923-0051-25-0032 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |