Followback without Site-visit Evaluation Year 1

Health Hazard Evaluations/Technical Assistance and Emerging Problems

OMB: 0920-0260

IC ID: 185721

Information Collection (IC) Details

View Information Collection (IC)

Followback without Site-visit Evaluation Year 1
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Followback without Site-visit Evaluation Year 1 Attachment K.pdf Yes No Fillable Printable

Health Public Health Monitoring

Occupational Health Epidemiological Studies  76 FR 34706

90 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 90 0 -30 0 0 120
Annual IC Time Burden (Hours) 15 0 -5 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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