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Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
OMB: 3041-0142
IC ID: 191497
OMB.report
CPSC
OMB 3041-0142
ICR 200912-3041-001
IC 191497
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0142 can be found here:
2022-11-14 - Extension without change of a currently approved collection
2021-10-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form CPSC 120
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
Form
CPSC 120 Verification of Compliance Form
VGBA Checklist.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form
CPSC 120
Verification of Compliance Form
VGBA Checklist.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700
Number of Respondents for Small Entity:
700
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
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
700
0
700
0
0
0
Annual IC Time Burden (Hours)
2,100
0
2,100
0
0
0
Annual IC Cost Burden (Dollars)
99,624
0
99,624
0
0
0
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.