Information Collection Request

[NCCDPHP] National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level

ICR 202312-0920-006 · OMB 0920-1319 · Received in OIRA

Forms and Documents

Document Name	Status
Form 0920-1319 Instructions to Update the Fluoridation Status and Population Data Form and Instruction	Modified
1319 Att 2e Respondent Reminders.docx Supplementary Document	2024-01-25
1319 Att 4 IRB exemption determination.pdf Supplementary Document	2024-01-25
SSB_WFRS.docx Supporting Statement B	2024-01-25
SSA WFRS.docx Supporting Statement A	2024-01-26
4a_Privacy Narrative_WFRS_2024.pdf Supplementary Document	2024-01-25

IC Document Collections

IC ID	Document Title	Status
239186	Email Invite Fluoride Testing data Other-Email to States to Invite them to submit Fluoride Testing	Modified
239185	Instructions to Update the Fluoridation Status and Population Data Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1319
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202001-0920-003
Agency Tracking No	0920-1319
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31