Information Collection Request

Exigent Health and Safety Deficiency Correction Certification

ICR 202010-2577-001 · OMB 2577-0241 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-day pub FRN 2020-26243.pdf Supplementary Document Uploaded 2021-01-08 Repair queued
60-day FRN 2577-0241 2020-19609.pdf Supplementary Document Uploaded 2021-01-08 Repair queued
OMB 83i and Supporting Statement 082020.docx Supporting Statement A Uploaded 2021-01-08 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27931 Required Screens for the Physical Assessment Subsystem (PASS) Exigent Health & Safety (EH&S) Reporting Application Other-Template Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
976 0
329 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Required Screens for the Physical Assessment Subsystem (PASS) Exigent Health & Safety (EH&S) Reporting Application

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 976 0 0 5 0 971
Annual Time Burden (Hours) 329 0 0 56 0 273
Annual Cost Burden (Dollars) 0 0 0 -10,435 10,435 0


Reginfo record details
  No