Drinking Water Information Collection (Public Water Purveyors)

[ATSDR] Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study

OMB: 0923-0063

IC ID: 242012

Information Collection (IC) Details

View Information Collection (IC)

Drinking Water Information Collection (Public Water Purveyors)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Drinking Water Information Collection Form for Public Water Purveyors M_Att3c_WaterInfoCollec_WaterPurveyors_CLEAN.docx No   Paper Only

Health Public Health Monitoring

 

14 0
   
State, Local, and Tribal Governments
 
   0 %

  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 14 0 0 0 0 14
Annual IC Time Burden (Hours) 140 0 0 0 0 140
Annual IC Cost Burden (Dollars) 3,331 0 0 0 0 3,331

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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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