Form
	Approved OMB
	No. 0920-xxxx 
	 Exp.
	Date xx/xx/20xx 
Step 1 – Select QC Program
 
Step 2 – Select Analyte
	CDC estimates the average
	public reporting burden for this collection of information as 45
	minutes per response, including the time for reviewing instructions,
	searching existing data/information sources, gathering and
	maintaining the data/information 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 CDC/ATSDR Information Collection Review
	Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN:
	PRA (0920-xxxx).   
	 
 
Step 3 – Select method used (searchable list)
 
Step 4 – Analytic result data entry. Select a run number and enter results
 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Bernstein, John (CDC/ONDIEH/NCEH) | 
| File Modified | 0000-00-00 | 
| File Created | 2022-09-19 |