Information Collection

Pretesting Outreach and Web Materials for Fish Consumption Advisories

IC 246189 under ICR 202012-2010-001 · OMB 2010-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5800-015 Pretesting Outreach and Web Materials for Fish Consumption Advisories	Form and Instruction
5800-015 Final Screener Final Fish image screener_12-10-2020.docx	Form and Instruction
5800-015 Final Screener Final Fish image screener_12-10-2020.docx	Form and Instruction
5800-14 Discussion Guide Final Discussion Guide 12-10-2020.docx	Form and Instruction
5800-14 Discussion Guide Final Discussion Guide 12-10-2020.docx	Form and Instruction
Second Submittal Fish Image Testing ICR 12.08.20.docx Justification	IC Document
Second Submittal Fish Image Testing ICR 12.08.20.docx Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.130

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	5800-015	Final Screener	Final Fish image screener_12-10-2020.docx		No		Paper Only
Form and Instruction	5800-14	Discussion Guide	Final Discussion Guide 12-10-2020.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	44	44
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Second Submittal Fish Image Testing ICR 12.08.20.docx	03/11/2021

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