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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Non-Infectious Drinking Water Issues CSTE
Agency IC Tracking Number:
16NK
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
0920-16NK
Att A_CSTEDWA Instrument (Word Version)
Att A_CSTEDWA Instrument (Word Version).docx
Yes
No
Fillable Printable
Form and Instruction
0920-16NK
Att B_CSTEDWA Instrument (Web Version)
Att B_CSTEDWA Instrument (Web Version).docx
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
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
55
0
55
0
0
0
Annual IC Time Burden (Hours)
36
0
36
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att C_CSTEDWA Invitation E-mail
Att C_CSTEDWA Invitation E-mail.docx
02/04/2016
Att D_CSTEDWA Reminder E-mail
Att D_CSTEDWA Reminder E-mail.docx
02/04/2016
CSTEDWA-SSA
CSTEDWA-SSA.docx
02/04/2016
CSTEDWA-SSB
CSTEDWA-SSB.docx
02/04/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.