Information Collection

o-Dichlorobenzene (CAS 95-50-1) Test Order (2nd order)

IC 251977 under ICR 202203-2070-001 · OMB 2070-0033.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
9544-01_TestOrder oDCB.pdf Other-Test Order
ICR_Supplemental SS TO o-DCB.docx
Supplemental SS o-DCB
IC Document

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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
Other-Test Order 9544-01_TestOrder oDCB.pdf No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 401 0 0 0 0 401
Annual IC Cost Burden (Dollars) 214,801 0 0 0 0 214,801

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Supplemental SS o-DCB ICR_Supplemental SS TO o-DCB.docx 03/07/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.