Information Collection

Dentists

IC 213557 under ICR 202011-2040-001 · OMB 2040-0287.

Documents and Forms

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Document Name	Document Type

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IC Title:

Dentists

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 441 40 CFR 403

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

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 122,741

Number of Respondents for Small Entity: 110,496

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	122,741	6,741	116,000
Annual IC Time Burden (Hours)	384,384	-17,559	401,943
Annual IC Cost Burden (Dollars)	6,735	-15,305	22,040

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.