Information Collection

Evaluation of the Burden of Waterborne Disease Within Communities in the United States

IC 25028 under ICR 199807-2080-001 · OMB 2080-0050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Evaluation of the Burden of Waterborne Disease Within Communities in the United States

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1727.02				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,800	774	1,026
Annual IC Time Burden (Hours)	12,240	4,810	7,430
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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