Information Collection

Exposure Measurement Form

IC 235811 under ICR 202106-0923-001 · OMB 0923-0062.

Information Collection (IC) Details

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Exposure Measurement Form 0923-0062
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0062 Exposure Measurement Form P_AppxN6_ExpMeasurementForm 20210222 cln.docx Yes No Fillable Fileable

Health Public Health Monitoring

 

200 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 0 0 200
Annual IC Time Burden (Hours) 66 0 0 0 0 66
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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