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Chemical Exposure Question Bank
Generic Clearance of ATSDR Exposure Investigations (EI) formerly NCEH/ATSDR Exposure Investigations (EI)
OMB: 0923-0040
IC ID: 206442
OMB.report
HHS/TSDR
OMB 0923-0040
ICR 201304-0923-001
IC 206442
( )
Documents and Forms
Document Name
Document Type
Att 2.Revised_Library of Chemical Exposure Questions_0923-0040.doc
Other-WORD
Att 2.Revision Abstract_0923-0040.doc
Other-WORD
Chemical Exposure Question Bank
Attachment 3 Chemical Exposure Question Bank _20130326.doc
Form and Instruction
Att 7. Revision_Comparison_ Exposure Investigation Library_0923-0040.doc
Att 7
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Chemical Exposure Question Bank
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-WORD
Att 2.Revised_Library of Chemical Exposure Questions_0923-0040.doc
Yes
No
Fillable Printable
Other-WORD
Att 2.Revision Abstract_0923-0040.doc
Yes
Yes
Fillable Printable
Form and Instruction
none
Chemical Exposure Question Bank
Attachment 3 Chemical Exposure Question Bank _20130326.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
09-19-001 Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances (ATSDR)
FR Citation:
57 FR 62814
Number of Respondents:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,200
0
1,200
0
0
0
Annual IC Time Burden (Hours)
600
0
600
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 7
Att 7. Revision_Comparison_ Exposure Investigation Library_0923-0040.doc
07/07/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.