Information Collection

Mortality Risk Reductions

IC 224885 under ICR 201809-2090-001 · OMB 2090-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2090-0028 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2205ss20 Mortality Questions.docx	Other-Other
2205ss20 Mortality Generic Supporting Statement.docx 2205ss20 Mortality Generic Supporting Statement	IC Document
gen icr_VRR_revised_011917_clean.docx supporting statement	IC Document
EPA-SAB-11-011-unsigned.pdf SAB Report	IC Document

IC Title:

Mortality Risk Reductions

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			2205ss20 Mortality Questions.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2205ss20 Mortality Generic Supporting Statement	2205ss20 Mortality Generic Supporting Statement.docx	12/16/2016
supporting statement	gen icr_VRR_revised_011917_clean.docx	01/24/2017
SAB Report	EPA-SAB-11-011-unsigned.pdf	01/24/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.