EA Participants (All Ages) - Biological Testing Tracking

Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs)

Documents and Forms

Document Name Document Type
EA Participants (All Ages) - Biological Testing Tracking Form
EA participants biological testing tracking PrtApndxB6_Biological Testing Tracking Form_20220609.docx Form
EA participants biological testing tracking PrtApndxB6_Biological Testing Tracking Form_20220609.docx Form

Information Collection (IC) Details

IC Title:	EA Participants (All Ages) - Biological Testing Tracking	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	none	EA participants biological testing tracking	PrtApndxB6_Biological Testing Tracking Form_20220609.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances	FR Citation: 76 FR 4432

Number of Respondents: 1,137	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,137	-838	1,975
Annual IC Time Burden (Hours)	379	-279	658
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.