OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Component 2 - STLT Health Dept Sewershed

IC 263100 under ICR 202310-0920-009 · OMB 0920-1422.

Documents and Forms
Document Name
Document Type
Other-Web Upload Screenshot
Other-Web Upload Screenshot
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Component 2 - STLT Health Dept Sewershed 0920-23GL
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web Upload Screenshot Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

55 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 1,100 0 1,100 0 0 0
Annual IC Time Burden (Hours) 92 0 92 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Control Header and Burden Statement OMB Control Header and Burden Statement.docx 10/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.