Information Collection

ToxFAQs Before and After Testing

IC 219333 under ICR 201510-0923-001 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ToxFAQs Before and After Testing	Form and Instruction
Tox FAQs Before and After Testing Survey - Online Attachment-E_ToxFAQs Before and After Testing Survey (online).docx	Form and Instruction
0923-0047_NCEH-ATSDR-Generic-Clearance-for-Qualitative-Feedback-ToxFAQs.pdf GenIC Request	IC Document
Attachment-A_ToxFAQs Before and After Testing Protocol.docx ToxFAQs Before and After Testing Protocol	IC Document
Attachment-B_ToxFAQs Before and After Fact Sheets.docx ToxFAQs Before and After Testing Fact Sheets	IC Document
Attachment-C_ToxFAQs Before and After Testing Email Invitation.docx ToxFAQs Before and After Testing Email Invitation	IC Document
Attachment-D_ToxFAQs Before and After Testing Survey (text).docx ToxFAQs Before and After Testing Survey - Text	IC Document

IC Title:

ToxFAQs Before and After Testing

Agency IC Tracking Number:

16AH

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	NA	Tox FAQs Before and After Testing Survey - Online	Attachment-E_ToxFAQs Before and After Testing Survey (online).docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	0923-0047_NCEH-ATSDR-Generic-Clearance-for-Qualitative-Feedback-ToxFAQs.pdf	12/18/2015
ToxFAQs Before and After Testing Protocol	Attachment-A_ToxFAQs Before and After Testing Protocol.docx	12/18/2015
ToxFAQs Before and After Testing Fact Sheets	Attachment-B_ToxFAQs Before and After Fact Sheets.docx	12/18/2015
ToxFAQs Before and After Testing Email Invitation	Attachment-C_ToxFAQs Before and After Testing Email Invitation.docx	12/18/2015
ToxFAQs Before and After Testing Survey - Text	Attachment-D_ToxFAQs Before and After Testing Survey (text).docx	12/18/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.