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View Information Collection (IC)

Drinking Water Exposure Investigation - Dimock, PA 0923-17AOV
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable

Health Consumer Health and Safety

Records of Persons Exposed or Potentially Exposed to Hazardous or Toxic Substances  59 FR 67085

20 0
   
Individuals or Households
 
   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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 06/08/2017
Supporting Statement B 06/08/2017
Consent 06/08/2017
Protocol 06/08/2017
Sample results letter 06/08/2017
Report example 06/08/2017
Research determination 06/08/2017
Invitation and Fact Sheet 06/08/2017
GenIC request for approval 06/08/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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