Information Collection

RadNet - Air

IC 24029 under ICR 202403-2060-001 · OMB 2060-0015.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-23 RadNet Supply Request Form RadNet - Air	Form and Instruction
Form 5900-24 Air Particulate Sample Report RadNet - Air	Form
5900-23 RadNet Supply Request Form Form 5900-23 - RadNet Supply Request Form.pdf	Form and Instruction
5900-24 Air Particulate Sample Report Form 5900-24 - RadNet Air Particulate Report Form.pdf	Form

IC Title:

RadNet - Air

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	5900-23				No		Paper Only
Form	5900-24				No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,560	0	14,560
Annual IC Time Burden (Hours)	3,230	5	3,225
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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