Parental Permission

Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs)

OMB: 0923-0059

IC ID: 233853

Information Collection (IC) Details

View Information Collection (IC)

Parental Permission
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA Parental Permission Form PrtApndxB3_Parental Permission Form_20190206_clean.docx NA Yes No Paper Only

Health Public Health Monitoring

Records of Persons Exposed or Potentially Exposed to Toxic or Hazardous Substances  76 FR 4432

474 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 474 0 0 0 0 474
Annual IC Time Burden (Hours) 79 0 0 0 0 79
Annual IC Cost Burden (Dollars) 1,152 0 0 0 0 1,152

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.

© 2024 OMB.report | Privacy Policy