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Federal forms, ICRs, and supporting documents

Information Collection

Unlicensed Facility OnSite Monitoring Checklist (Form M-9A-UF) - Recordkeeping

IC 256782 under ICR 202403-0970-014 · OMB 0970-0564.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Form M-9A-UF
Unlicensed Facility OnSite Monitoring Checklist (Form M-9A-UF) - Recordkeeping		 Form and Instruction
Form Form M-9A-UF
Unlicensed Facility OnSite Monitoring Checklist (Form M-9A-UF) - Recordkeeping		 Form and Instruction
Form M-9A-UF Unlicensed Facility On-Site Monitoring Checklist
M-9A-UF On Site Monitoring Checklist.docx 		Form and Instruction
Form M-9A-UF Unlicensed Facility On-Site Monitoring Checklist
M-9A-UF On Site Monitoring Checklist.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 and Instruction Form M-9A-UF Unlicensed Facility On-Site Monitoring Checklist M-9A-UF On Site Monitoring Checklist.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 216 0 0 0 0 216
Annual IC Time Burden (Hours) 864 0 0 0 0 864
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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