Information Collection

Laboratory QA - Intial Evaluation (State)

IC 189180 under ICR 201401-2040-001 · OMB 2040-0246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0246 can be found here:

Documents and Forms

Document Name Document Type
2067supp04 - Justification for No Instrument.doc Other-Justification for No Instrumen

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Laboratory QA - Intial Evaluation (State)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Justification for No Instrument			2067supp04 - Justification for No Instrument.doc		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2	2
Annual IC Time Burden (Hours)	-234	234
Annual IC Cost Burden (Dollars)	-5,324	5,324

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.