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ABLES Aggregate Records Form
Blood Lead Surveillance System (BLSS)
OMB: 0920-0931
IC ID: 231454
OMB.report
HHS/CDC
OMB 0920-0931
ICR 202405-0920-005
IC 231454
( )
Documents and Forms
Document Name
Document Type
Form 0920-0931
ABLES Aggregate Records Form
Form and Instruction
0920-0931 ABLES Aggregate Records Form
Att5b CBLS Agg Rcrds Frm_20231026.xlsx
Form and Instruction
0920-0931 ABLES Aggregate Records Form
Att5b CBLS Agg Rcrds Frm_20231026.xlsx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ABLES Aggregate Records Form
Agency IC Tracking Number:
0920-0931
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
0920-0931
ABLES Aggregate Records Form
Att5b CBLS Agg Rcrds Frm_20231026.xlsx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0136 “Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
8
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
8
0
0
0
0
8
Annual IC Time Burden (Hours)
24
0
0
0
0
24
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.