Information Collection

Component 1 - Wastewaters Utilities Staff

IC 263098 under ICR 202310-0920-009 · OMB 0920-1422.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv	Other-Template
Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv	Other-Template
Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx NCBI Crosswalk Data Dictionary	IC Document
Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx NCBI Crosswalk Data Dictionary	IC Document
Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf NWSS Bulk Upload Tool - screenshot	IC Document
Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf NWSS Bulk Upload Tool - screenshot	IC Document
Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx NWSS Data Dictionary	IC Document
Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx NWSS Data Dictionary	IC Document

IC Title:

Agency IC Tracking Number:

0920-23GL

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-Template					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	114,400	114,400
Annual IC Time Burden (Hours)	152,533	152,533
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCBI Crosswalk Data Dictionary		10/30/2023
NWSS Bulk Upload Tool - screenshot		10/30/2023
NWSS Data Dictionary		10/30/2023

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

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