Appendix F

IC-CyanoScope-Appendix F.pdf

Generic Clearance for Citizen Science and Crowdsourcing Projects (Renewal)

Appendix F

OMB: 2080-0083

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2080-0083 can be found here:

2024-05-14 - Reinstatement with change of a previously approved collection

Document [pdf]

Download: pdf | pdf

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

Waterbody Name _________________________
State ______
Station ID ______________________
Collector Name _________________
Sampling Date __ __ __ __ - __ __ - __ __
Sampling Time ___ : __ __
Sample Type IT __ Other _______
Sample Depth 3m ___ 1m___ Other _____________

*As of Oct1, 2016, this template will work with Avery label sheets #5911, 8371, 8471, and 8859

File Type	application/pdf
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File Created	0000-00-00