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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Laboratory Certification (State & Local)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
40 CFR 141.705(a) and 142.10(b)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
TBD
Checklist A - Method 1623_1623.1 Audit Package and Data Review
Checklist A - Method 1623_1623.1 Audit Package and Data Review.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
TBD
Checklist B - Laboratory SOP Review
Checklist B - Laboratory SOP Review.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
TBD
Checklist C - Method 1623_1623.1 Technical Review_Sample Processing and Microscopy
Checklist C - Method 1623_1623.1 Technical Review_Sample Processing and Microscopy.pdf
Yes
Yes
Fillable Fileable
Form
TBD
Cryptosporidium Laboratory Audit Application Form
Cryptosporidium Laboratory Audit Application Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
TBD
Application Package for Assessment of Crypto Lab QA.
Application Package for Assessment of Crypto Lab QA.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
23
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
69
0
0
39
0
30
Annual IC Time Burden (Hours)
1,350
0
0
-986
0
2,336
Annual IC Cost Burden (Dollars)
178,058
0
0
-18,646
0
196,704
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.