OMB control number
Blood Lead Surveillance System (BLSS)
OMB 0920-0931 · HHS/CDC.
This ICR covers 2 information collections, one for childhood blood lead surveillance by NCEH and another for adult blood lead surveillance by NIOSH. This joint ICR includes 2 data collection systems that provide a coordinated, comprehensive, and systematic public health approach to the surveillance and monitoring of blood lead levels (BLLs) for children < 16 years old and for occupationally exposed adults ≥ 16 years old in the U.S. The goal of the NCEH CLPPP is to promote primary prevention of exposure to lead in children, and, as a secondary prevention strategy, to promote blood lead testing and surveillance of BLLs in children to ensure that there is a comprehensive system in place for the identification, referral, case management, and follow-up evaluation of lead-exposed children. This Non-Substantive Change Request is submitted to remove "NIOSH" from the ICR title, as the collection is led by NCEH. There is no change to the burden or data collection instruments.
The latest form for Blood Lead Surveillance System (BLSS) expires 2027-07-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
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Approved without change |
Extension without change of a currently approved collection | 2024-05-28 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-09-22 | |
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Approved with change |
Extension without change of a currently approved collection | 2021-03-12 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2019-07-03 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2018-05-22 | |
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Approved with change |
Revision of a currently approved collection | 2018-05-15 | |
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Withdrawn and continue |
Extension without change of a currently approved collection | 2018-03-27 | |
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Approved without change |
Extension without change of a currently approved collection | 2015-02-26 | |
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Approved with change |
New collection (Request for a new OMB Control Number) | 2011-11-22 |
CBLS Aggregate Records Forms
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-0931 | Childhood Blood Lead Surveillance (CBLS) Aggregate Records Forms | NA | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.