Form 0920-0109 Audit Form

Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices

Attachment 5- Draft Audit Form

Respiratory Protective Devices-42 CFR part 84-Regulation (Audit)

OMB: 0920-0109

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Attachment 5

Audit











































Form Approved

OMB No. 0920-0109

Exp. Date 11/30/2017







This document serves as a mock data collection instrument for the audit activities performed by the Institute or its agents at respirator manufacturer sites.

































Public reporting burden of this collection of information is estimated to average 24 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0109).



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSawyer, Tamela (CDC/NIOSH/OD)
File Modified0000-00-00
File Created2021-01-14

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