OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Attachments: 17.5 -17.6; 18; 22.2 consent forms, show cards, and dust questionnaire

IC 208235 under ICR 201604-0925-001 · OMB 0925-0406.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
Attachments: 17.5 -17.6; 18; 22.2 consent forms, show cards, and dust questionnaire		 Form and Instruction
1 BEEA Show Cards
Attachment 17-5 17-6_BEEA_ShowCards_burden.pdf 		Form and Instruction
2 BEEA Consent Form - Dust
Attachment 18_BEEA_Consent Forms_Dust.pdf 		Form and Instruction
3 BEEA Dust Specimen Questionnaire
Attachment 22-2_Dust Questionnaire_columns.doc 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 1 BEEA Show Cards Attachment 17-5 17-6_BEEA_ShowCards_burden.pdf Yes No Paper Only
Form and Instruction 2 BEEA Consent Form - Dust Attachment 18_BEEA_Consent Forms_Dust.pdf Yes No Paper Only
Form and Instruction 3 BEEA Dust Specimen Questionnaire Attachment 22-2_Dust Questionnaire_columns.doc Yes No Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 0 0 -160 0 0 160
Annual IC Time Burden (Hours) 0 0 -53 0 0 53
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.