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Federal forms, ICRs, and supporting documents

Information Collection Request

SURVEY OF AREAS CLOSED OR RESTRICTED BECAUSE OF TOXIC SUBSTANCE CONTAMINATION

ICR 198410-0920-002 · OMB 0920-0166 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110810 SURVEY OF AREAS CLOSED OR RESTRICTED BECAUSE OF TOXIC SUBSTANCE CONTAMINATION Migrated
ICR Details
0920-0166 198410-0920-002
Historical Active
HHS/CDC
SURVEY OF AREAS CLOSED OR RESTRICTED BECAUSE OF TOXIC SUBSTANCE CONTAMINATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/04/1984
Retrieve Notice of Action (NOA) 10/04/1984
  Inventory as of this Action Requested Previously Approved
12/31/1984 12/31/1984
57 0 0
1,368 0 0
0 0 0
THE AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY IN COOPERATION WITH THE NATIONAL GOVERNORS ASSOCIATION WILL SURVEY STATE AGENCIES TO ESTABLISH A LISTING OF AREAS CLOSED OR RESTRICTED BECAUSE OF TOXIC SUBSTANCE CONTAMINATION. THIS DATA WILL BE USED TO DETERMINE THE EXTENT AND NATURE OF ENVIRONMENTAL CONTAMINATION AND ITS EFFECT ON THE USE OF VARIOUS AREAS BY PEOPLE.
None
None
No
1
IC Title Form No. Form Name
SURVEY OF AREAS CLOSED OR RESTRICTED BECAUSE OF TOXIC SUBSTANCE CONTAMINATION
  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 57 0 0 57 0 0
Annual Time Burden (Hours) 1,368 0 0 1,368 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.
10/04/1984