Information Collection Request

Exigent Health and Safety Deficiency Correction Certification

ICR 201611-2577-002 · OMB 2577-0241 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Published 30-day FR Notice.pdf Supplementary Document Uploaded 2017-07-26 Available
2577-0241 83-i Supporting Statement 2016 FINAL 11.29.16.doc Supporting Statement A Uploaded 2017-06-21 Available
IPA 2016 FINAL 11.29.16.docx Supplementary Document Uploaded 2016-12-30 Available
Published 60-day FR Notice.pdf Supplementary Document Uploaded 2016-12-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27931 Required Screens for the Physical Assessment Subsystem (PASS) Exigent Health & Safety (EH&S) Reporting Application Other-Template Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2020 36 Months From Approved
971 0 0
273 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Required Screens for the Physical Assessment Subsystem (PASS) Exigent Health & Safety (EH&S) Reporting Application

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 971 0 0 0 -163 1,134
Annual Time Burden (Hours) 273 0 0 0 -73 346
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No