DERT Extramural Grantee Data Collection Survey

ICR 202112-2025-001CF

OMB: 0925-0757

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
236363 Modified
ICR Details
0925-0757 202112-2025-001CF
Active 201906-2025-001CF
EPA/OEI
DERT Extramural Grantee Data Collection Survey
RCF Recertification  
Approved 12/28/2021
Retrieve Notice of Action (NOA) 12/28/2021
OMB approves this collection. EPA will work with NIH and OIRA desk officers should it seek to extend or revise this collection beyond the approved period.
  Inventory as of this Action Requested Previously Approved
12/31/2024 36 Months From Approved 12/31/2021
200 0 200
100 0 100
0 0 0



None
None



1
IC Title Form No. Form Name
DERT Extramural Grantee Data Collection Survey 1 NIEHS DERT Grantee Survey

  Total Approved 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 200 200 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No

$4,990
   
   
Uncollected
Uncollected
Uncollected
No
Mark Purdy 202-566-2792 [email protected]

 

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.


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