Information Collection

RadNet - Air

IC 24029 under ICR 201607-2060-004 · OMB 2060-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-30 RadNet - Air	Form
5900-30 RadNet Legacy Air Sample Report RADNET forms 2.pdf	Form
5900-23 RadNet Supply Request Form 0877.13 Form 5900-23 - RadNet Supply Request Form.pdf	Form
5900-24 Air Particulate Sample Report 0877.13 Form 5900-24 - RadNet Air Particulate Report Form.pdf	Form

IC Title:

RadNet - Air

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5900-30	RadNet Legacy Air Sample Report	RADNET forms 2.pdf	No	No	Paper Only
Form	5900-23	RadNet Supply Request Form	0877.13 Form 5900-23 - RadNet Supply Request Form.pdf	No		Paper Only
Form	5900-24	Air Particulate Sample Report	0877.13 Form 5900-24 - RadNet Air Particulate Report Form.pdf	No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 141

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	209	-16,015	16,224
Annual IC Time Burden (Hours)	3,248	-3,824	7,072
Annual IC Cost Burden (Dollars)	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.