Information Collection

Component 1 - Wastewaters Utilities Staff

IC 263098 under ICR 202609-0920-006 · OMB 0920-1422.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv	Other-Template
Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx NCBI Crosswalk Data Dictionary	IC Document
Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf NWSS Bulk Upload Tool - screenshot	IC Document
Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx NWSS Data Dictionary	IC Document

IC Title:

Agency IC Tracking Number:

0920-23GL

Is this a Common Form? No

IC Status: Removed

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
Other-Template					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-114,400	114,400
Annual IC Time Burden (Hours)	-152,533	152,533
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCBI Crosswalk Data Dictionary		10/30/2023
NWSS Bulk Upload Tool - screenshot		10/30/2023
NWSS Data Dictionary		10/30/2023

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

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