Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment
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Form Approved OMB No. 0923-0060
Exp. Date 08/31/2022
	
ATSDR estimates the average public reporting burden of this collection of information as 5 minutes per response, including the time for reviewing instructions searching existing data/information sources, gathering and maintaining the data/information needed, and completing 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 H21-8 Atlanta, Georgia 30333; ATTN: PRA (0923-0060).
	
My job title is:
Environmental Health Professional Environmental Professional
	 Tribal
	Environmental Specialist Planner
Tribal
	Environmental Specialist Planner
Municipal/Tribal Agency Official Developer
Environmental Non-profit/Non-profit Citizen/community member
Student in public health, environmental science, planning, "STEM" discipline
 None
	of the
	above
None
	of the
	above
	
	
In reference to the Communicating Environmental and Health Risks module, please choose all that apply:
Specifically useful for my work. If so, you can describe how below (optional)
 
 Quick
	refresher
Quick
	refresher
Offers me knowledge about a topic I am less familiar with
	 
 Gives
	me confidence to increase my skills in and understanding of
	evaluating environmental and health risks associated with land reuse
	sites Motivates me to learn more about land reuse sites and ways I
	can be engaged
Gives
	me confidence to increase my skills in and understanding of
	evaluating environmental and health risks associated with land reuse
	sites Motivates me to learn more about land reuse sites and ways I
	can be engaged
	 Not
	needed for
	my work None of
	the above
Not
	needed for
	my work None of
	the above
Other (please specify below)
	
	
If you selected, "Specifically useful for my work," above, please describe how here:
 
  
	
	
If you selected, "Other," above, please specify here:
	
 
  
	
	
	
	
	
	
	
 02/04/2023
	4:16pm	projectredcap.org
02/04/2023
	4:16pm	projectredcap.org
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 2023-09-25 |