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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Colorado Smelter Exposure Investigation
Agency IC Tracking Number:
IC Status:
Modified
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
none
Colorado Smelter Questionnaire
Att4_Pueblo Colorado Smelter EI Questnnre 8_5_2013.docx
Yes
Yes
Fillable Fileable
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 %
Requested
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
300
Annual IC Time Burden (Hours)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
Att1_Colorado Smelter EI_SupStA_8_5_2013.docx
08/07/2013
Supporting Statement B
Att2_Colorado Smelter EI_SupStB_8_5_2013.docx
08/07/2013
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
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.