Information Collection

Hazardous Waste Worker Training/Grantees

IC 43628 under ICR 201211-0925-003 · OMB 0925-0348.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0348 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Hazardous Waste Worker Training/Grantees	Form and Instruction
1 Data Management System Information Collection Data Management System screenshots enlarged.doc	Form and Instruction
Attachment 1 - Information Collection Word Version.doc Attachment 1 - Information Collection Word Version	IC Document

IC Title:

Hazardous Waste Worker Training/Grantees

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	1	Data Management System	Information Collection Data Management System screenshots enlarged.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40	4	36
Annual IC Time Burden (Hours)	560	56	504
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 1 - Information Collection Word Version	Attachment 1 - Information Collection Word Version.doc	11/07/2012

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