Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Att 3_ Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE New 10 8 0 Form and Instruction 0920- Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
Att 4_ Facility Incident Reporting Form FOR POLIOVIRUS THEFT or LOSS New 10 8 0 Form and Instruction 0920- Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
Att 5_ Global Action Plan (GAP) Poliovirus Containment Poliovirus- Essential Facility Assessment Checklist New 20 20 0 Form and Instruction 0920- Global Action Plan (GAP) Poliovirus Containment Poliovirus- Essential Facility Assessment Checklist
Att 6_ Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire New 20 30 0 Form and Instruction 0920- Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire
Att 7 _Personal Protective Equipment Survey for Laboratories New 20 30 0 Form and Instruction 0920- Personal Protective Equipment Survey for Laboratories
Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States New 20 30 0 Form and Instruction 0920 Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States
Total burden requested under this ICR: 100 126 0  
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