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Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Colorado Smelter Exposure Investigation
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Questionnaire for Colorado Smelter EI
Att4_Colorado EI Questionnaire_Revised 06 SEP 13 Clean copy (2).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances
FR Citation:
53 FR 157
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
300
0
0
0
0
0
Annual IC Time Burden (Hours)
100
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Colorado Smelter submission
Colorado Smelter EI_GenIC_8_5_2013.docx
08/07/2013
Assent/Consent
Att3_AssentConsentParental Permission_8 5 2013.docx
08/07/2013
Non-research determination
Att5_Human Subjects Documentation_8_5_2013.pdf
08/07/2013
Part A Supporting Statement
Att1_Colorado Smelter EI_SupStA_9_6_2013_CLEAN.docx
09/06/2013
Part B Supporting Statement
Att2_Colorado Smelter EI_SupStB_9_6_2013 CLEAN.docx
09/06/2013
Example of Prior EI Report to Community
Att9_Example of Prior Exposure Investigation Final Report.pdf
09/06/2013
Example Letter
Att8 Response Letter Normal Results_9_6_2013_CLEAN.docx
09/06/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.