CSPECE Qualitative Narrative Form

[ATSDR] APPLETREE Performance Measures

OMB: 0923-0057

IC ID: 241384

Information Collection (IC) Details

View Information Collection (IC)

CSPECE Qualitative Narrative Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CSPECE Qualitative Narrative Reporting Supplement Att4f CSPECE Qualitative Narrative Form 08312023.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

30 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 30 0 2 0 0 28
Annual IC Time Burden (Hours) 30 0 2 0 0 28
Annual IC Cost Burden (Dollars) 0 0 -1,044 0 0 1,044

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.

© 2024 OMB.report | Privacy Policy