Information Collection

Laboratory Certification (Private)

IC 23747 under ICR 201801-2040-002 · OMB 2040-0246.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TBD Checklist A - Method 1623_1623.1 Audit Package and Data Review Laboratory Certification (Private)	Form and Instruction
Form TBD Checklist B - Laboratory SOP Review Laboratory Certification (Private)	Form and Instruction
Form TBD Checklist C - Method 1623_1623.1 Technical Review_Sample Processing and Microscopy Laboratory Certification (Private)	Form and Instruction
Form TBD Cryptosporidium Laboratory Audit Application Form Laboratory Certification (Private)	Form
Form TBD Application Package for Assessment of Crypto Lab QA Laboratory Certification (Private)	Form and Instruction
TBD Checklist A - Method 1623_1623.1 Audit Package and Data Checklist A - Method 1623_1623.1 Audit Package and Data Review.pdf	Form and Instruction
TBD Checklist B - Laboratory SOP Review Checklist B - Laboratory SOP Review.pdf	Form and Instruction
TBD Checklist C - Method 1623_1623.1 Technical Review_Sample Checklist C - Method 1623_1623.1 Technical Review_Sample Processing and Microscopy.pdf	Form and Instruction
TBD Cryptosporidium Laboratory Audit Application Form Cryptosporidium Laboratory Audit Application Form.pdf	Form
TBD Application Package for Assessment of Crypto Lab QA Application Package for Assessment of Crypto Lab QA.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 141.705(a) and 142.01(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TBD	Yes	Yes	Fillable Fileable
Form and Instruction	TBD	Yes	Yes	Fillable Fileable
Form and Instruction	TBD	Yes	Yes	Fillable Fileable
Form	TBD	Yes	Yes	Fillable Fileable
Form and Instruction	TBD	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	60	45	15
Annual IC Time Burden (Hours)	1,173	5	1,168
Annual IC Cost Burden (Dollars)	154,833	56,481	98,352

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.

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