Information Collection

Laboratory Qualification

IC 192290 under ICR 202602-0920-006 · OMB 0920-0850.

Documents and Forms

Document Name Document Type
Form 0920-0850 Laboratory Qualification Data Laboratory Qualification Form
0920-0850 Laboratory Qualification Data Att 3a_Laboratory Qualification Data.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Laboratory Qualification	Agency IC Tracking Number:	0920-0850

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	0920-0850	Laboratory Qualification Data	Att 3a_Laboratory Qualification Data.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 136	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	136	-3,114	3,250
Annual IC Time Burden (Hours)	272	-12,728	13,000
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.

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