EEOICPA Dose Reconstruction Interviews Conclusion Form

EEOICPA Dose Reconstruction Interviews and Form

OMB: 0920-0530

IC ID: 188308

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EEOICPA Dose Reconstruction Interviews Conclusion Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Word Att D_OCAS-1 Form.doc Yes No Fillable Printable

Health Illness Prevention

09-20-0147 Occupational Health Epidemiological Studies and EEOICPA Program Records  68 FR 55962

8,400 0
   
Individuals or Households
 
   100 %

  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 8,400 0 0 0 0 8,400
Annual IC Time Burden (Hours) 700 0 0 0 0 700
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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