Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators)

Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0109 can be found here:

Documents and Forms

Document Name Document Type
Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators) Form
Att 5_SAFV .v8.pdf Other-Screenshots
Standard Application Form for the Approval of Respirator Att 4_SAFV v.7 (Quality Assurance).pdf Form
Standard Application Form for the Approval of Respirator Att 6_SAFV v.7 (NEW).pdf Form
Attachment D.xps Attachment D Quality Assurance IC Document

Information Collection (IC) Details

IC Title:	Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 84

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Standard Application Form for the Approval of Respirators Version 7 (Quality Assurance)	Att 4_SAFV v.7 (Quality Assurance).pdf	Yes	Yes	Fillable Printable
Other-Screenshots			Att 5_SAFV .v8.pdf	Yes	Yes	Fillable Printable
Form	None	Standard Application Form for the Approval of Respirators Version & (NEW)	Att 6_SAFV v.7 (NEW).pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63	Number of Respondents for Small Entity: 60

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	441	-159	600
Annual IC Time Burden (Hours)	100,989	-36,411	137,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D Quality Assurance	Attachment D.xps	05/12/2011

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