Agency Forms Undergoing Paperwork Reduction Act Review

[[Page 11212]]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30DAY-07]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) publishes a

list of information collection requests under review, in compliance

with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a

copy of these requests, call the CDC Reports Clearance Office on (404)

639-7090.

The following request have been submitted for review since the last

publication date on January 23, 1996.

Proposed Project

1. Surveillance and Epidemiology Study Core Questionnaire and

Supplement Modules--(0923-0010)--Revision--ATSDR is revising and

renewing the project which follows populations exposed to specific

hazardous substances over a period of time to determine if they are

experiencing elevated occurrence of diseases. In addition to

demographic information, additional core information is collected on

behavioral characteristics and health conditions. The supplemental

modules are also included in the request that may be used, depending on

the organ system targeted or the type of respondent (renal, liver,

occupational, respiratory, etc).

The total cost to respondents is estimated at $53,153.64.

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Average

Number of Number of burden/ Total

Respondents respondents responses/ responses burden (in

respondent (in hrs.) hrs.)

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Households.................................................. 2667 7 .369 4908

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The total annual burden is 4908. Send comments to Allison Eydt;

Human Resources and Housing Branch, New Executive Office Building, Room

10235; Washington, DC 20503.

Wilma G. Johnson,

Acting Associate Director for Policy Planning And Evaluation, Centers

for Disease Control; and Prevention (CDC).

[FR Doc. 96-6513 Filed 3-18-96; 8:45 am]

BILLING CODE 4163-18-P