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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Federally Unregulated Drinking Water Programs: Assessing Strategies Leading to Policy Change
Agency IC Tracking Number:
16MI
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
NA
Interview Guide
Att B_Interview_Guide.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
18
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
18
0
18
0
0
0
Annual IC Time Burden (Hours)
23
0
23
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Invitation E-mail
Att C_Invitation E-mail.docx
01/29/2016
Scheduling In-Person Interview E-mail
Att D_Scheduling_In-person Interview.docx
01/29/2016
Confirmation In-Person Interview E-mail
Att E_Confirmation_In-person Interview.docx
01/29/2016
Reminder E-mail
Att F_Reminder E-mail.docx
01/29/2016
List of the Participant State / County Health Departments
Att A_List_State_County_Health_Departments.docx
01/29/2016
Supporting Statement A
PW-POLICY- SSA_02FEB2016.docx
02/02/2016
Supporting Statement B
PW-POLICY-SSB_02FEB2016.docx
02/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.