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Your Environment. Your Health.

Data Collection Form

EHS Core Centers Data Collection Form

Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

Please provide your center's recent achievements. This information will be used internally to: 1) share information with other centers, 2) share data with NIEHS staff for internal presentations, and 3) update programmatic webpages. Please be sure to clearly identify any proprietary information (i.e., information that should not publicly shared, e.g., if data are not yet published). Please consider providing highlights as short summaries with catchy headlines.

Contact Information

Please note that this information request is being conducted based on questions from the DERT Extramural Grantee Data Collection Survey (OMB No. 0925-0757, expiration December 31, 2024). On behalf of NIEHS, thank you for taking the time to provide this information.

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