Information Collection Request

[ATSDR] Assessment of Chemical Exposures (ACE) Investigations

ICR 202503-0923-001 · OMB 0923-0051 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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 Missing upstream
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 Missing upstream
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 Missing upstream
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 Missing upstream
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 Missing upstream
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 Missing upstream
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 Missing upstream
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

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2027 12/31/2027 12/31/2027
4,790 0 4,790
1,508 0 1,508
0 0 0






table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,790 4,790 0 0 0 0
Annual Time Burden (Hours) 1,508 1,508 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No