Camp Lejeune Drinking Water Notification Registry

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0703-0057 can be found here:

Documents and Forms

Document Name Document Type
Website screenshot with dropdown.pdf www.marines.mil/clwater Other-Website Screenshots
PAS and ADN screenshot.PDF Other-Screenshot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Camp Lejeune Drinking Water Notification Registry	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Website Screenshots			Website screenshot with dropdown.pdf	http://www.marines.mil/clwater	Yes	Yes	Fillable Fileable
Other-Screenshot			PAS and ADN screenshot.PDF		No		Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: MCB Camp Lejeune Historic Drinking Water Notification Registry	FR Citation: 80 FR 15196

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	10,000	8,400	1,600
Annual IC Time Burden (Hours)	1,000	830	170
Annual IC Cost Burden (Dollars)	23,230	23,230	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.