Information Collection

Title VI of the Public Health Security and Bioterrorism Pre- paredness and Response Act of 2002: Drinking Water Security and Safety

IC 23755 under ICR 200303-2040-001 · OMB 2040-0253.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Title VI of the Public Health Security and Bioterrorism Pre- paredness and Response Act of 2002: Drinking Water Security and Safety

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

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	2103.01				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,487

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22,499	22,499
Annual IC Time Burden (Hours)	2,652,392	2,652,392
Annual IC Cost Burden (Dollars)	82,000	82,000

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.

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