Information Collection

Noise Subsample Study

IC 210032 under ICR 201401-0925-004 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 40.1 Noise Subsample Study	Form and Instruction
NoiseMonitorInstructions.docx	Instruction
40.1 Survey NoiseMeasurementSAQ.docx	Form and Instruction
40.2 Survey NoiseMeasurementSetUpInstrument.docx	Form and Instruction
40.3 Survey NoiseMeasurementPickUpInstrument.docx	Form and Instruction
NoiseMonitorShippingInstructions.docx NoiseMonitorShippingInstructions	IC Document

IC Title:

Noise Subsample Study

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	40.1	Survey	NoiseMeasurementSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	40.2	Survey	NoiseMeasurementSetUpInstrument.docx	Yes	Yes	Paper Only
Instruction			NoiseMonitorInstructions.docx	Yes	Yes	Paper Only
Form and Instruction	40.3	Survey	NoiseMeasurementPickUpInstrument.docx	Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NoiseMonitorShippingInstructions	NoiseMonitorShippingInstructions.docx	01/15/2014

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