WATERBORNE DISEASE SURVEILLANCE IN VERMONT

ICR 198201-2000-018

OMB: 2000-0107

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
137827
Migrated
ICR Details
2000-0107 198201-2000-018
Historical Active 198010-2000-002
EPA
WATERBORNE DISEASE SURVEILLANCE IN VERMONT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/18/1982
Retrieve Notice of Action (NOA) 01/18/1982
The entry and action date on this form are the same because this action is a correction. This form has been reinstated and the expiration date has been moved up to March, 1982.
  Inventory as of this Action Requested Previously Approved
03/31/1982 03/31/1982
200 0 0
150 0 0
0 0 0

INFORMATION ON THE OUTBREAK OF HEPATITIS A, GASTROINTESTINAL DISORDERS AND SALMOVELLA WILL BE GATHERED BY HEALTH DEPT. OF VERMONT. SO THAT THE STATE MAY BETTER IDENTIFY & INVESTIGATE OUTBREAKS.

None
None


No

1
IC Title Form No. Form Name
WATERBORNE DISEASE SURVEILLANCE IN VERMONT

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 0 0 0 200 0
Annual Time Burden (Hours) 150 0 0 0 150 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/18/1982


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