EPA INDOOR ENVIRONMENTAL QUALITY SURVEY

ICR 199207-2060-003

OMB: 2060-0244

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
139608 Migrated
ICR Details
2060-0244 199207-2060-003
Historical Active
EPA/OAR
EPA INDOOR ENVIRONMENTAL QUALITY SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/06/1993
Retrieve Notice of Action (NOA) 07/10/1992
  Inventory as of this Action Requested Previously Approved
01/31/1996 01/31/1996
2,800 0 0
654 0 0
0 0 0

OAR WILL SURVEY BUILDING OCCUPANTS, INCLUDING EMPLOYEES AND (COMMERCIA BUILDING TENANTS, TO OBTAIN INFORMATION ON THE CHARACTERISTICS OF THEI WORK AREA, ANY HEALTH SYMPTOMS EXPERIENCED WHILE AT WORK, AND TO EXAMI CONFOUNDING VARIABLES, GENERAL INFORMATION ABOUT THEIR JOBS, WORKSTATIONS, AND EDUCATIONAL BACKGROUND. EPA WILL USE THE SURVEY RESULTS TO ASSESS THE INCIDENCE OF CERTAIN IQ-RELATED PROBLEMS AND

None
None


No

1
IC Title Form No. Form Name
EPA INDOOR ENVIRONMENTAL QUALITY SURVEY 1619.01

  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 2,800 0 0 2,800 0 0
Annual Time Burden (Hours) 654 0 0 654 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.
07/10/1992


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