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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
6:2 fluorotelomer sulfonamide betaine (CASRN 34455-29-3)
Agency IC Tracking Number:
1139.46
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
40 CFR 790
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Test Order
9828-01_TestOrder_ToOMB.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
4
0
4
0
0
0
Annual IC Time Burden (Hours)
712
0
712
0
0
0
Annual IC Cost Burden (Dollars)
1,423,964
0
1,423,964
0
0
0
Documents for IC
Title
Document
Date Uploaded
Test Order Justification Document
Supplemental SS TO 34455-29-3 - revised.docx
06/02/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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