Information Collection

Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations

IC 268112 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-081 Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations	Form and Instruction
6100-081 Screener - Pretesting Outreach Materials for Fish Consum Screener Guide_ Pretesting Outreach and Web Materials.docx	Form and Instruction
6100-081 Screener - Pretesting Outreach Materials for Fish Consum Screener Guide_ Pretesting Outreach and Web Materials.docx	Form and Instruction
6100-082 Discussion Guide - Pretesting Outreach Materials for Fis Discussion Guide_Pretesting Outreach and Web Materials.docx	Form and Instruction
6100-082 Discussion Guide - Pretesting Outreach Materials for Fis Discussion Guide_Pretesting Outreach and Web Materials.docx	Form and Instruction
Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx Justification	IC Document
Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.263

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 and Instruction	6100-081	Screener - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations	Screener Guide_ Pretesting Outreach and Web Materials.docx		Yes	Yes	Fillable Fileable
Form and Instruction	6100-082	Discussion Guide - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations	Discussion Guide_Pretesting Outreach and Web Materials.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx	05/30/2024

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