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Site Impact Assessment Form
APPLETREE Performance Measures
Att4c SIA Form_Screenshots 20200325
ATSDR Site Impact Assessment Form
OMB: 0923-0057
OMB.report
HHS/TSDR
OMB 0923-0057
ICR 202004-0923-001
IC 226336
Site Impact Assessment Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0923-0057 can be found here:
2023-09-19 - Revision of a currently approved collection
2020-09-28 - No material or nonsubstantive change to a currently approved collection
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Attachment 4c. ATSDR Site Impact Assessment (SIA) Form (Screenshots)
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Vance, Jonda L
File Modified
0000-00-00
File Created
2021-01-14
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