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Federal forms, ICRs, and supporting documents

Information Collection Request

PACKAGE OF TWO FORMS: (1) HAZARDOUS SUBSTANCES REMOVED FROM SCHOOL (2) EVALUATION FORM

ICR 198312-3041-005 · OMB 3041-0052 · Historical Active

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IC IDCollectionTypeStatusForm
149147 PACKAGE OF TWO FORMS: (1) HAZARDOUS SUBSTANCES REMOVED FROM SCHOOL (2) EVALUATION FORM Migrated
ICR Details
3041-0052 198312-3041-005
Historical Active
CPSC
PACKAGE OF TWO FORMS: (1) HAZARDOUS SUBSTANCES REMOVED FROM SCHOOL (2) EVALUATION FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/05/1984
Retrieve Notice of Action (NOA) 12/08/1983
  Inventory as of this Action Requested Previously Approved
10/31/1984 10/31/1984
1,000 0 0
334 0 0
0 0 0
HIGH SCHOOL SCIENCE TEACHERS WILL FILL OUT THESE FORMS AS PART OF AN OVERALL CLEAN-UP PROGRAM FOR HAZARDOUS CHEMICALS IN THE SCHOOL LAB. THE FORMS ARE PART OF A DOCUMENT WARNING TEACHERS OF SUCH CHEMICALS. CPSC NEEDS THE RESULTS TO SHOW THAT HAZARDOUS CHEMICALS HAVE BEEN REMOVED FROM SCHOOL LABS AND TO EVALUATE THE EFFECTIVENESS OF THE PUBLICATION.
None
None
No
1
IC Title Form No. Form Name
PACKAGE OF TWO FORMS: (1) HAZARDOUS SUBSTANCES REMOVED FROM SCHOOL (2) EVALUATION FORM
  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 1,000 0 0 0 1,000 0
Annual Time Burden (Hours) 334 0 0 0 334 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/08/1983