Information Collection

Verify Help Desk Survey

IC 192879 under ICR 200908-2090-001 · OMB 2090-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1711ss20 - Verify Help Desk - Survey.doc	Other-Survey
1711ss20 - Verify Help Desk - Justification.doc 1711ss20 - Verify Help Desk - Justification	IC Document
Verify Helpdesk survey rev 06242010.doc Revised Verify Help Desk Survey	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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
Other-Survey					Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 420

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	420	0	0	0	0	0
Annual IC Time Burden (Hours)	14	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1711ss20 - Verify Help Desk - Justification		05/12/2010
Revised Verify Help Desk Survey		06/24/2010

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

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