NATIONAL EXPOSURE REGISTRY

ICR 198904-0905-001

OMB: 0905-0001

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
109258
Migrated
ICR Details
0905-0001 198904-0905-001
Historical Active 199106-0923-002
HHS/PHS
NATIONAL EXPOSURE REGISTRY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/02/1989
Retrieve Notice of Action (NOA) 04/04/1989
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991
87,431 0 0
33,780 0 0
0 0 0

ATSDR WILL ESTABLISH A NATIONAL REGISTRY OF INDIVIDUALS EXPOSED TO TOX SUBSTANCES. THIS REGISTRY WILL SERVE AS A PERMANENT RECORD OF PERSONS EXPOSED TO TOXIC CHEMICALS AND WILL AID IN ASSESSING LONG-TERM HEALTH CONSEQUENCES OF THIS EXPOSURE.

None
None


No

1
IC Title Form No. Form Name
NATIONAL EXPOSURE REGISTRY

  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 87,431 0 0 87,431 0 0
Annual Time Burden (Hours) 33,780 0 0 33,780 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/04/1989


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