Attachment 12
Record of Fish for Analysis by EPA
| Form Approved OMB No. 0920-0079 Exp. Date XX/XX/XXXX | 
Record of Fish for Analysis by EPA
 
	CDC estimates the average
	public reporting burden for this collection of information as 5
	minutes per response, including the time for reviewing instructions,
	searching existing data/information sources, gathering and
	maintaining the data/information needed, and completing and
	reviewing the collection of information. An agency may not conduct
	or sponsor, and a person is not required to respond to a collection
	of information unless it displays a currently valid OMB control
	number. Send comments regarding this burden estimate or any other
	aspect of this collection of information, including suggestions for
	reducing this burden to CDC/ATSDR Information Collection Review
	Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN:
	PRA (0920-0079).
Record of Fish for Analysis by EPA
Respondents may provide one fish at the end of a study day. Staff will complete the table below.
| Species of fish | Length in inches | Approximate area where fish was caught | 
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Backer, Lorraine (CDC/DDNID/NCEH/DEHSP) | 
| File Modified | 0000-00-00 | 
| File Created | 2024-09-13 |