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Att 21 Performance Test
[NIOSH] Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices
OMB: 0920-0109
IC ID: 263425
OMB.report
HHS/CDC
OMB 0920-0109
ICR 202311-0920-004
IC 263425
( )
Documents and Forms
Document Name
Document Type
Form TEB-1214A Rev 0
Att 21 Performance Test
Form
TEB-1214A Rev 0 Determination of Performance Form
Atch_21_Performance Test.xlsx
Form
TEB-1214A Rev 0 Determination of Performance Form
Atch_21_Performance Test.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att 21 Performance Test
Agency IC Tracking Number:
0920-0109
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
TEB-1214A Rev 0
Determination of Performance Form
Atch_21_Performance Test.xlsx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
10
0
10
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.