RESEARCH QUESTIONNAIRE ON HEALTH HABITS AND DRINKING WATER

ICR 198607-2080-002

OMB: 2080-0024

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2080-0024 198607-2080-002
Historical Active
EPA/ORD
RESEARCH QUESTIONNAIRE ON HEALTH HABITS AND DRINKING WATER
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/20/1986
Retrieve Notice of Action (NOA) 07/23/1986
  Inventory as of this Action Requested Previously Approved
09/30/1987 09/30/1987
4,600 0 0
4,196 0 0
0 0 0

THIS IS A CARDIOVASCULAR DISEASE RISK FACTORS STUDY OF WISCONSIN RESIDENTS IN COMMUNITIES SUPPLIED WITH WATER OF VARYING HARDNESS AND CHLORINATION. THE RESULTS OF THE STUDY WILL BE USEFUL IN THE DEVELOPMENT OF REGULATIONS SPECIFYING DISENFECTION AS REQUIRED TREATME FOR PUBLIC WATER SYSTEMS AND, POSSIBLY, FOR REGULATIONS FOR DISENFECTANTS AND DISENFECTANT BY-PRODUCTS UNDER PHASE IV OF THE

None
None


No

1
IC Title Form No. Form Name
RESEARCH QUESTIONNAIRE ON HEALTH HABITS AND DRINKING WATER 1283

  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 4,600 0 0 4,600 0 0
Annual Time Burden (Hours) 4,196 0 0 4,196 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/23/1986


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