Information Collection

Epidemiologic Study of Gastrointestinal Healh Effects and Exposure to Disinfection Byproducts Associated with Consumption of Conventionally Treated Groundwater

IC 7102 under ICR 200402-0920-004 · OMB 0920-0635.

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IC Title:

Epidemiologic Study of Gastrointestinal Healh Effects and Exposure to Disinfection Byproducts Associated with Consumption of Conventionally Treated Groundwater

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 52 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,934	12,934
Annual IC Time Burden (Hours)	12,934	12,934
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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