Chronic Beryllium Disease Prevention Program

ICR 200306-1910-001

OMB: 1910-5112

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
23435
Migrated
ICR Details
1910-5112 200306-1910-001
Historical Active 200002-1910-001
DOE/DOEOA
Chronic Beryllium Disease Prevention Program
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 08/06/2003
Retrieve Notice of Action (NOA) 06/24/2003
  Inventory as of this Action Requested Previously Approved
08/31/2006 08/31/2006
30,876 0 0
32,952 0 0
0 0 0

DOE and DOE contractors will use this information collecton to manage chronic beryllium disease prevention programs, provide information to employees, and facilitate DOE ovesight of the programs.

None
None


No

1
IC Title Form No. Form Name
Chronic Beryllium Disease Prevention Program

  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 30,876 0 0 30,876 0 0
Annual Time Burden (Hours) 32,952 0 0 32,952 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.
06/24/2003


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