Low Pressure Event Form - Grab Samples

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

OMB: 0920-0960

IC ID: 204803

Documents and Forms
Document Name
Document Type
Other-WORD
Information Collection (IC) Details

View Information Collection (IC)

Low Pressure Event Form - Grab Samples
 
No Modified
 
Voluntary
 

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

Health Illness Prevention

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62821

5 0
   
State, Local, and Tribal Governments
 
   50 %

  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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy