Clinic Visit Checklist and Body Measurements - Licensed Anglers

Biomonitoring of Great Lakes Populations Program III

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0056 can be found here:

Documents and Forms

Document Name Document Type
Clinic Visit Checklist and Body Measurements - Licensed Anglers Form and Instruction
Clinic Visit Checklist and Body Measurements - Licensed 8a.ClinicVisitChcklst_LicAng.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Clinic Visit Checklist and Body Measurements - Licensed Anglers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	NA	Clinic Visit Checklist and Body Measurements - Licensed Anglers	8a.ClinicVisitChcklst_LicAng.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 134	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	134	134
Annual IC Time Burden (Hours)	78	78
Annual IC Cost Burden (Dollars)	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.