Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form

ICR 202110-3041-001

OMB: 3041-0142

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2021-10-25
Supplementary Document
2019-09-05
Supplementary Document
2019-09-05
Supporting Statement A
2019-09-05
IC Document Collections
ICR Details
3041-0142 202110-3041-001
Received in OIRA 201909-3041-001
CPSC
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
No material or nonsubstantive change to a currently approved collection   No
Regular 10/25/2021
  Requested Previously Approved
11/30/2022 11/30/2022
100 100
300 300
0 0

CPSC staff will fill in the form during the course of a pool and spa inspection to determine if the swimming pool and spa drain cover meets the requirements of ANSI/APSP 16 2017.

PL: Pub.L. 110 - 140 1404(b) Name of Law: Virginia Graeme Baker Pool and Spa Safety Act
  
None

Not associated with rulemaking

  84 FR 27772 06/14/2019
84 FR 45736 08/30/2019
Yes

1
IC Title Form No. Form Name
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form CPSC 120, CPSC 120 Compliance Verification Form ,   Compliance Verification Form

  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 100 100 0 0 0 0
Annual Time Burden (Hours) 300 300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$25,984
No
    No
    No
No
No
No
No
Cynthia Gillham 301 504-7701 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/25/2021


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