View Information Collection (IC)

View Information Collection (IC)

Laboratory Application
No Modified
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Urine Lab App Form Urine Lab App Form Att D 2017 Urine Lab App form.pdf Yes Yes Fillable Fileable
Form and Instruction Urine Lab a_b_c Checklist Urine Lab a_b_c Checklist Att E 2017 Urine Lab a_b_c checklist.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring


1 0
Federal Government
   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 1 0 0 -2 0 3
Annual IC Time Burden (Hours) 3 0 0 -6 0 9
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IITF App Form Att F 2017 IITF App Form.pdf 04/27/2017
IITF a_b_c_Checklist Att G 2017 IITF a_b_c_checklist.pdf 04/27/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.