Information Collection

RadNet - Drinking Water

IC 178892 under ICR 202403-2060-001 · OMB 2060-0015.

Documents and Forms

Document Name Document Type
Form 5900-23 RadNet - Drinking Water Form
5900-23 RadNet Supply Request Form Form 5900-23 - RadNet Supply Request Form.pdf Form
5900-29 RadNet Drinking Water Report Form 5900-29 - RadNet Drinking Water Report Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RadNet - Drinking Water	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	5900-23	RadNet Supply Request Form	Form 5900-23 - RadNet Supply Request Form.pdf		No		Paper Only
Form	5900-29	RadNet Drinking Water Report	Form 5900-29 - RadNet Drinking Water Report Form.pdf		No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 47	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	188	-84	272
Annual IC Time Burden (Hours)	116	-52	168
Annual IC Cost Burden (Dollars)	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.