Information Collection

Environmental Sample Collection (Postnatal)

IC 202210 under ICR 201407-0925-005 · OMB 0925-0593.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22.1 Environmental Sample Collection (Postnatal)	Form and Instruction
22.1 Survey IndoorDwellingObservationInstrument.docx	Form and Instruction
22.2 Survey VacuumBagDustInstrument.docx	Form and Instruction
22.3 Survey DustWipeInorganicsInstrument.docx	Form and Instruction
22.5 Survey DustWipeOrganicsInstrument.docx	Form and Instruction
OutdoorStructureObservationInstrument.docx OutdoorStructureObservationInstrument	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	22.1	Survey	IndoorDwellingObservationInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	22.2	Survey	VacuumBagDustInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	22.3	Survey	DustWipeInorganicsInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	22.5	Survey	DustWipeOrganicsInstrument.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: 1,085

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	Previously Approved
Annual Number of Responses for this IC	14,105	14,105
Annual IC Time Burden (Hours)	1,775	1,775
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OutdoorStructureObservationInstrument	OutdoorStructureObservationInstrument.docx	11/08/2013

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