Information Collection

Title IV of the Public Health Security and Bioterrorism Pre- paredness and Response Act of 2002: Drinking Water Security and Safety

IC 23756 under ICR 201410-2040-002 · OMB 2040-0253.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2103supp03 - No CFR or Instrument.doc	Other-Justification for No CFR or In

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Justification for No CFR or Instrument			2103supp03 - No CFR or 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: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38	0	38
Annual IC Time Burden (Hours)	8,994	0	8,994
Annual IC Cost Burden (Dollars)	337	43	294

Documents for IC

table that charts IC Documents
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.