Childhood Lead Blood Levels Form

Form Approved

OMB No. 0920-xxxx

Exp. Date xx/xx/201x

Data Dictionary for Data Submission Childhood Blood Lead Poisoning National Environmental Public Health Tracking Network
Characteristic	Description
Data Sources	CDC Lead Program; CLPP Programs; Tracking Grantees
Purpose	This dataset allows public health professionals and researchers on the secure portal to evaluate screening practices and monitor progress towards eliminating lead poisoning among children. Also, this dataset will be used to develop indicators (with appropriate procedures to protect confidentiality) for the national public portal. This dataset can be linked to US Census data and other data sources to identify geographic areas where children are at risk for lead poisoning.
Restrictions	This is a restricted access dataset without appropriate confidentiality measures applied.

CDC estimates the average public reporting burden for this collection of information as 80 hours 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-xxxx).

Childhood Lead Poisoning Data Dictionary for Aggregate Data Environmental Public Health Tracking
Field Name	Field Description	Data Type	Code Scheme	Legal Values	Field Length	Required
STATE	State FIPS code	String	nn	FIPS code	2	Required
CountyFIPS	County FIPS code	String	nnnnn U = unknown	FIPS code, U	5	Required
BCYear	Year in which birth cohort was born	Integer	nnnn	0-9999	4	Required (Either BCYear or YearTested must be included but not both)
YearTested	Year in which tests occurred	Integer	nnnn	0-9999	4	Required (Either BCYear or YearTested must be included but not both)
AgeGroup	Age in months of child at time of test	Integer	1 = 0-<12 2 = 12-<24 3 = 24-<36 4 = 36-<48 5 = 48-<60 6 = 60-<72 9 = unknown age 10=No Testing in county 11=County not in system	1-6, 9 – 11	2	Required (when submitting YearTested. Not required when submitting BCYear)
BLLCategory	Categorization of blood lead test results in units of μg/dL	Integer	1 = <5 2 = 5- <10 3 = 10-<15 4 = 15-<20 5 = 20-<25 6 = 25-<45 7 = 45-<70 8 = ≥70 9 = No testing in County 10 = County not in system	1-10	2	Required
NumChildrenTested	Number of children tested	Integer		0-nnnnn	5	Required
Confirmed	Classification of test result as either confirmed or unconfirmed	Integer	0=no, unconfirmed 1=yes, confirmed	0-1	1	Required