Information Collection

Collect an Ashfall Sample

IC 205544 under ICR 202603-1028-001 · OMB 1028-0106.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
na Collect an Ashfall Sample	Form
Ash Collection Instructions.docx	Instruction
Ashfall reporting Paper Form.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction					Yes	No	Printable Only
Form	na				Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records

Title: DOI-08 Social Media

FR Citation: 76 FR 44033

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	3	0	3
Annual IC Cost Burden (Dollars)	750	9	741

Documents for IC

table that charts IC Documents
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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