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Body and Blood Pressure Measures
[ATSDR] Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study
OMB: 0923-0063
IC ID: 239053
OMB.report
HHS/TSDR
OMB 0923-0063
ICR 202305-0923-001
IC 239053
( )
Documents and Forms
Document Name
Document Type
Body and Blood Pressure Measures
Form and Instruction
Body and Blood Pressure Measures Form
M_Att13_BodyBloodPressMeasrForm_20191212_updt.docx
Form and Instruction
Body and Blood Pressure Measures Form
M_Att13_BodyBloodPressMeasrForm_20191212_updt.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Body and Blood Pressure Measures
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 and Instruction
n/a
Body and Blood Pressure Measures Form
M_Att13_BodyBloodPressMeasrForm_20191212_updt.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
SORN 09–19–0001, ‘‘Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances"
FR Citation:
76 FR 4432
Number of Respondents:
3,033
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
3,033
0
0
0
0
3,033
Annual IC Time Burden (Hours)
253
0
0
0
0
253
Annual IC Cost Burden (Dollars)
6,312
0
0
0
0
6,312
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.