Information Collection

Biomonitoring Interview Questionnaire, Subsistence Anglers

IC 213780 under ICR 201506-0923-001 · OMB 0923-0052.

Documents and Forms

Document Name Document Type
Biomonitoring Interview Questionnaire, Subsistence Anglers Form and Instruction
Biomonitoring Questionnaire Sub Anglers Att8g_BiomQuestionnaire_SubsAnglers.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Biomonitoring Interview Questionnaire, Subsistence Anglers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Biomonitoring Questionnaire Sub Anglers	Att8g_BiomQuestionnaire_SubsAnglers.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.