Application For Preauthorization Of A Cercla Response Action Claim For Cercla Response Action

APPLICATION FOR PREAUTHORIZATION OF A CERCLA RESPONSE ACTION CLAIM FOR CERCLA RESPONSE ACTION

OMB: 2050-0106

IC ID: 138953

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APPLICATION FOR PREAUTHORIZATION OF A CERCLA RESPONSE ACTION CLAIM FOR CERCLA RESPONSE ACTION
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1304.04 No No


    

34 0
   
Individuals or Households
 
   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 35 0 0 -68 0 103
Annual IC Time Burden (Hours) 3,923 0 0 -9,391 0 13,314
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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