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Form Approved
OMB Control No.0920-XXXX
Exp XX/XX/XXXX
This data collection is mandatory. Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data 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 Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-XXXX
File Type | application/pdf |
Author | Amber Stolp |
File Modified | 2020-03-04 |
File Created | 2020-03-03 |