Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs)

OMB 0923-0059

OMB 0923-0059

This information collection addresses the requirements for completing exposure assessments (EAs) for PFAS authorized in Section 8006 of the Consolidated Appropriations Act, 2018. ATSDR/NCEH will use statistical methods to recruit respondents at a minimum of eight current or former domestic military installations known to have PFAS contamination in water sources. ATSDR will collect biological and environmental samples to evaluate exposure. This request for non-material change will enable virtual meetings and telephone interviews instead of in-person contact. The changes are being made due to COVID-19 precautions and the need to practice social distancing.

The latest form for Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs) expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
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OMB Details

Community Event Evaluation Survey

Federal Enterprise Architecture: Health - Public Health Monitoring

Form noneExposure assessment community event surveyPaper OnlyForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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