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Federal forms, ICRs, and supporting documents

Information Collection Request

SURVEY TO DEVELOP LIST OF STATE HEALTH AGENCIES THAT PROVIDE FORMALDEHYDE TESTING FOR CONSUMERS

ICR 198212-3041-005 · OMB 3041-0036 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
149125 SURVEY TO DEVELOP LIST OF STATE HEALTH AGENCIES THAT PROVIDE FORMALDEHYDE TESTING FOR CONSUMERS Migrated
ICR Details
3041-0036 198212-3041-005
Historical Active
CPSC
SURVEY TO DEVELOP LIST OF STATE HEALTH AGENCIES THAT PROVIDE FORMALDEHYDE TESTING FOR CONSUMERS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/25/1983
Retrieve Notice of Action (NOA) 12/27/1982
  Inventory as of this Action Requested Previously Approved
05/31/1983 05/31/1983
50 0 0
9 0 0
0 0 0
SURVEY WILL ENABLE THE COMMISSION TO PROVIDE CONSUMERS WITH NECESSARY INFORMATION REGARDING FORMALDEHYDE TESTING AND WHERE THIS SERVICE IS AVAILABLE. THE SURVEY WILL BEGIN ON 1/15/83 AND WILL BE COMPLETED NO LATER THAN 3/15/83.
None
None
No
1
IC Title Form No. Form Name
SURVEY TO DEVELOP LIST OF STATE HEALTH AGENCIES THAT PROVIDE FORMALDEHYDE TESTING FOR CONSUMERS
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 0 0 50 0 0
Annual Time Burden (Hours) 9 0 0 9 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/27/1982