Information Collection Request

Radiation Sampling and Exposure Records

ICR 201102-1219-002 · OMB 1219-0003 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Individual Exposur Radiation Sampling and Exposure Records Form Modified Available
1219-0003_(20110228).doc Supporting Statement A Uploaded 2011-02-28 Available
2011-04512_PI.pdf Supplementary Document Uploaded 2011-02-28 Available
2010-31815 (12 21 2010).pdf Supplementary Document Uploaded 2011-02-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
14336 Radiation Sampling and Exposure Records Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2014 36 Months From Approved 05/31/2011
505 0 100
502 0 800
25 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Radiation Sampling and Exposure Records Individual Exposure to Radon Daughters 4000-9

table that charts list of burden
  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 505 100 0 0 405 0
Annual Time Burden (Hours) 502 800 0 0 -298 0
Annual Cost Burden (Dollars) 25 0 0 0 25 0


Reginfo record details
  No