OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Characterization of Exposure Potential during Activities Conducted on Synthetic Turf with Crumb Rubber Infill

OMB 0923-0058 · HHS/TSDR.

OMB 0923-0058

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Youth Exposure MeasurementForm
Phlebotomist Safety Exclusion QuestionsForm
Parent/Guardians of Youth Field Users QuestionnaireForm
Eligibility Screening - Parents/Guardians of Youth Field UsersForm and Instruction
Phlebotomist Safety Exclusion QuestionsForm
Exposure Measurement - Adult and Adolescent Field UsersForm
Adult and Adolescent QuestionnaireForm
Eligibility Screening - Adult/Adolescent Field UsersForm and Instruction
Change Request_OMB Control Number 0923-0058 20170828 clean.docx Justification for No Material/Nonsubstantive Change
Att6 Synthetic Turf Research Protocol_Final.docx Supplementary Document
Att8 US EPA Human Research Review Approval.pdf Supplementary Document
Att7 CDC IRB Approval.docx Supplementary Document
Att6 Synthetic Turf Research Protocol_Final.docx Supplementary Document
Att5 PIA_4.21.17.pdf Supplementary Document
Att4c Activity 2 ConsentAssentPermissionForms_Final.docx Supplementary Document
Att4a Field User Fact Sheet_Final.docx Supplementary Document
Att3 ExtrnlPeerReviewCmmnts and AgencyRspnses.docx Supplementary Document
Att2a Public Comments and Agency Responses.pdf Supplementary Document
Att2 60-day FRN.pdf Supplementary Document
Att1 AuthLegsl.docx Supplementary Document
3 - 20170427 SSB _Synthetic Turf_EC.docxSupporting Statement B
3 - 20170509 SSA _Synthetic Turf_EC.docxSupporting Statement A
Youth Exposure Measurement Form
Phlebotomist Safety Exclusion Questions Form
Parent/Guardians of Youth Field Users Questionnaire Form
Eligibility Screening - Parents/Guardians of Youth Field Users Form and Instruction
Phlebotomist Safety Exclusion Questions Form
Exposure Measurement - Adult and Adolescent Field Users Form
Adult and Adolescent Questionnaire Form
Eligibility Screening - Adult/Adolescent Field Users Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201708-0923-001 No material or nonsubstantive change to a currently approved collection 2017-08-29 Approved without change
201705-0923-001 New collection (Request for a new OMB Control Number) 2017-06-12 Approved without change