RadNet - Air

RadNet (Renewal)

Documents and Forms

Document Name Document Type
Form 5900-23 RadNet - Air Form and Instruction
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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-23	RadNet Supply Request Form	Form 5900-23 - RadNet Supply Request Form.pdf		No		Paper Only
Form	5900-24	Air Particulate Sample Report	Form 5900-24 - RadNet Air Particulate 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: 140	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	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

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.