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Information Collection

Form For Requesting Samples

IC 139847 under ICR 198410-2070-002 · OMB 2070-0041.

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Information Collection (IC) Details

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FORM FOR REQUESTING SAMPLES
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form EPA-360 No No
Form (CIN) No No


    

5,000 0
   
State, Local, and Tribal Governments
 
   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 5,000 0 0 5,000 0 0
Annual IC Time Burden (Hours) 400 0 0 400 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.