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Att 24 Test 118
[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: 263434
OMB.report
HHS/CDC
OMB 0920-0109
ICR 202311-0920-004
IC 263434
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0109 can be found here:
2024-10-18 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0109
Att 24 Test 118
Form
0920-0109 Cold Temperature Test, Open Circuit, SCBA STP #: 118
Atch_24_Test118.pdf
Form
0920-0109 Cold Temperature Test, Open Circuit, SCBA STP #: 118
Atch_24_Test118.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att 24 Test 118
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
0920-0109
Cold Temperature Test, Open Circuit, SCBA STP #: 118
Atch_24_Test118.pdf
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
250
0
250
0
0
0
Annual IC Time Burden (Hours)
125
0
125
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.