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Optional Questionnaire
Tier 1 Screening of Certain Chemicals Under the Endocrine Disruptor Screening Program (EDSP)
OMB: 2070-0176
IC ID: 190886
OMB.report
EPA/OCSPP
OMB 2070-0176
ICR 201210-2070-003
IC 190886
( )
Documents and Forms
Document Name
Document Type
Form 6300-05-Q
Optional Questionnaire
Form
6300-05-Q Optional Questionnaire Level of Effort for Recipients of
2249.01_Amendment-F2_Optional-Qs-2009-09-18.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Optional Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
6300-05-Q
Optional Questionnaire Level of Effort for Recipients of Tier 1 Screening Orders
2249.01_Amendment-F2_Optional-Qs-2009-09-18.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
384
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
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
0
0
-384
0
0
384
Annual IC Time Burden (Hours)
0
0
-243
0
0
243
Annual IC Cost Burden (Dollars)
0
0
0
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.