Information Collection

CHP Topicals 10, 11, and 12

IC 260052 under ICR 202407-0607-001 · OMB 0607-1025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1025 can be found here:

Documents and Forms

Document Name Document Type
Form Part A, Attachment CHP Topicals 10, 11, and 12 Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CHP Topicals 10, 11, and 12	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	Part A, Attachment A_CHP Topical 10, 11, 12	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124,248	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	124,248	-156	124,404
Annual IC Time Burden (Hours)	41,375	-52	41,427
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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