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Att 15 Communication Test
[NIOSH] Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices
OMB: 0920-0109
IC ID: 263416
OMB.report
HHS/CDC
OMB 0920-0109
ICR 202410-0920-021
IC 263416
( )
Documents and Forms
Document Name
Document Type
Form 0920-0109
Att 15 Communication Test
Form
Form 0920-0109
Att 15 Communication Test
Form
0920-0109 CBRN APR Communication Performance Test Data Analysis Sh
Atch_15_Communication Test.xls
Form
0920-0109 CBRN APR Communication Performance Test Data Analysis Sh
Atch_15_Communication Test.xls
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att 15 Communication Test
Agency IC Tracking Number:
0920-0109
Is this a Common Form?
No
IC Status:
Unchanged
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
0920-0109
CBRN APR Communication Performance Test Data Analysis Sheets
Atch_15_Communication Test.xls
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
0
0
0
10
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
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.