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Introduction

This survey is being used to gather information on behalf of the Centers for Disease and Control and Prevention (CDC) about your Environmental Public Health Tracking Program's hospitalization data (inpatient and Emergency Department) and the partnership you have with the data provider . Your state or cities environmental public health tracking program will be referred to as “your program” throughout the survey. We appreciate your responses.
CDC estimates the average public reporting burden for this collection of information as 255 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 (0920-1154)

You can go back and review/edit previous answers by selecting the PREV button at the bottom of each page.

To begin, please provide the following information about your program:

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* 1. Name of your organization or department

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* 2. Your position

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* 3. State or city represented

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* 4. Please indicate how many years you’ve been with your program

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