PAsS Enrollment Form

NCEH DLS Laboratory Quality Assurance Programs

OMB: 0920-1389

IC ID: 255944

Information Collection (IC) Details

View Information Collection (IC)

PAsS Enrollment Form 0920-22AW
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a PAsS Enrollment Form Att 3j. PAsS Enrollment Form.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

28 0
   
State, Local, and Tribal Governments
 
   100 %

  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 28 0 28 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
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.

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