Information Collection

State, Local, and Tribal Government Laboratories

IC 241927 under ICR 202005-0920-006 · OMB 0920-1313.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1313 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-20JE State, Local, and Tribal Government Laboratories	Form and Instruction
0920-20JE TOM Kits Questions Att6 TOM Kits Questions (Word).docx	Form and Instruction
Att6 TOM Kits Questions (Online Examples).pdf Online Example	IC Document

IC Title:

State, Local, and Tribal Government Laboratories

Agency IC Tracking Number:

0920-20JE

Is this a Common Form? No

IC Status: New

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
Form and Instruction	0920-20JE	TOM Kits Questions	Att6 TOM Kits Questions (Word).docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Online Example	Att6 TOM Kits Questions (Online Examples).pdf	05/21/2020

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