Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Appeals Modified 10 3 0 Form and Instruction 0920-1424 Appeals and Complaints
Att 3_ Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE Modified 10 8 0 Form and Instruction 0920-1424 Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
Att 4_ Facility Incident Reporting Form FOR POLIOVIRUS THEFT or LOSS Modified 10 8 0 Form and Instruction 0920-1424 Facility Incident Reporting Form FOR POLIOVIRUS RELEASE or POTENTIAL EXPOSURE
Att 6_ Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire Modified 20 30 0 Form and Instruction 0920-1424 Global Action Plan (GAP) Poliovirus Containment Poliovirus-Essential Facility Questionnaire
Att 7 _Personal Protective Equipment Survey for Laboratories Modified 20 30 0 Form and Instruction 0920-1424 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 Modified 20 30 0 Form and Instruction 0920-1424 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: 90 109 0  
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