NOMINATIONS FOR ATSDR COMMUNITY ASSISTANCE PANELS

ICR 199203-0923-001

OMB: 0923-0007

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
111125
Migrated
ICR Details
0923-0007 199203-0923-001
Historical Active
HHS/TSDR
NOMINATIONS FOR ATSDR COMMUNITY ASSISTANCE PANELS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/23/1992
Retrieve Notice of Action (NOA) 03/06/1992
  Inventory as of this Action Requested Previously Approved
04/30/1995 04/30/1995
5,400 0 0
899 0 0
0 0 0

THIS INFORMATION COLLECTION PROVIDES A MECHANISM FOR COMMUNITIES NEAR HAZARDOUS WASTE SITES TO NOMINATE RESIDENTS TO SERVE ON A COMMUNITY ASSISTANCE PANEL. THE PANEL FACILITATES DATA COLLECTION, COMMUNITY COOPERATION AND UNDERSTANDING, AND PUBLIC HEALTH EDUCATION REGARDING EXPOSURES TO TOXIC SUBSTANCES.

None
None


No

1
IC Title Form No. Form Name
NOMINATIONS FOR ATSDR COMMUNITY ASSISTANCE PANELS

  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 5,400 0 0 5,400 0 0
Annual Time Burden (Hours) 899 0 0 899 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.
03/06/1992


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