Information Collection

Soil Gas Safe Communities – Designation and Method Development

IC 264840 under ICR 202401-2080-001 · OMB 2080-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6000-016 Soil Gas Safe Communities – Designation and Method Development	Form
6000-016 Soil Gas Safe Communities Building Survey - Indoor Air S Soil Gas Communities Instrument Form.pdf	Form
6000-016 Soil Gas Safe Communities Building Survey - Indoor Air S Soil Gas Communities Instrument Form.pdf	Form
Soil Gas Communities_Justification final.docx Justification	IC Document
Soil Gas Communities_Justification final.docx Justification	IC Document
Soil Gas Communities QAPP.pdf Quality Assurance Project Plan	IC Document
Soil Gas Communities QAPP.pdf Quality Assurance Project Plan	IC Document

IC Title:

Soil Gas Safe Communities â Designation and Method Development

Agency IC Tracking Number:

2521.49

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
Form	6000-016	Soil Gas Safe Communities Building Survey - Indoor Air Sampling	Soil Gas Communities Instrument Form.pdf		No		Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Soil Gas Communities_Justification final.docx	01/31/2024
Quality Assurance Project Plan	Soil Gas Communities QAPP.pdf	01/31/2024

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