Information Collection

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

IC 23756 under ICR 200709-2040-004 · OMB 2040-0253.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0253 can be found here:

Documents and Forms

Document Name Document Type
2103supp03 - No CFR or Instrument.doc Other-Justification for No CFR or In

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Title IV 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: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Justification for No CFR or Instrument			2103supp03 - No CFR or Instrument.doc		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38	-22,461	22,499
Annual IC Time Burden (Hours)	8,994	-2,904,935	2,913,929
Annual IC Cost Burden (Dollars)	294	-81,706	82,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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