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

Documents and Forms

Document Name Document Type
Form CPSC 120 Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form Form
CPSC 120 Compliance Verification Form FINAL VGBA Checklist - REVISED-8-24-11-OMB -3041-0142 (2).doc Form
CPSC 120 Compliance Verification Form FINAL VGBA Checklist - REVISED-8-24-11-OMB -3041-0142 (2).doc Form
CPSC 120 Compliance Verification Form VGBA Checklist - REVISED-OMB -3041-0142.docx Form
CPSC 120 Compliance Verification Form VGBA Checklist - REVISED-OMB -3041-0142.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CPSC 120	Compliance Verification Form	FINAL VGBA Checklist - REVISED-8-24-11-OMB -3041-0142 (2).doc		No		Paper Only
Form	CPSC 120	Compliance Verification Form	VGBA Checklist - REVISED-OMB -3041-0142.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 50

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-50	100
Annual IC Time Burden (Hours)	150	-150	300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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