App F_Screening Questionnaire

Ingress/Egress and Work Boot Outsole Wear Investigation at Surface mines

OMB: 0920-1125

IC ID: 221621

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Document Type
Other-WORD
IC Document
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App F_Screening Questionnaire 16GK
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Appendix F.docx No   Paper Only

Health Consumer Health and Safety

 

50 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
App K_Informed Consent Appendix K.docx 05/20/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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