Att H._Utility Customer Information

Epidemiologic Study of Health Effects Associated with Low Pressure Events in Drinking Water Distribution Systems

OMB: 0920-0960

IC ID: 204806

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Att H._Utility Customer Information
 
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Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD H.Customer Contact (revised).docx No   Fillable Printable

Health Immunization Management

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 252

5 0
   
State, Local, and Tribal Governments
 
   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 35 0 32 0 0 3
Annual IC Time Burden (Hours) 105 0 96 0 0 9
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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