EEOICPA Dose Reconstruction Introductory Letters & Telephone Interview

EEOICPA Dose Reconstruction Interviews and Form

OMB: 0920-0530

IC ID: 6981

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EEOICPA Dose Reconstruction Introductory Letters & Telephone Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att C1-3_Telephone Interviews revised--09 01 11.doc Yes Yes Fillable Printable
Other-Word Att C4_Introductory Ltrs.doc Yes Yes Fillable Printable

Health Illness Prevention

09-20-0147 Occupational Health Epidemiological Studies and EEOICPA Program Records  68 FR 55962

4,200 0
   
Individuals or Households
 
   100 %

  Approved 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 4,200 0 0 0 0 4,200
Annual IC Time Burden (Hours) 4,200 0 0 0 0 4,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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