RadNet - Air

RadNet (Renewal)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.