View Information Collection (IC)

View Information Collection (IC)

Laboratory Inspection Checklist
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
Instruction Same as Urine Lab Chklist.docx Yes Yes Fillable Fileable

Health Public Health Monitoring


29 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 29 0 -1 0 0 30
Annual IC Time Burden (Hours) 29 0 -1 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.