Information Collection

Chronic Hazard Advisory Panel Questionnaire

IC 189155 under ICR 200905-3041-001 · OMB 3041-0139.

Documents and Forms

Document Name Document Type
Form 0 Chronic Hazard Advisory Panel Questionnaire Form and Instruction
0 Chronic Hazard Advisory Panel Questionnaire OMB_New_CHAP_Letter_Questionnaire.pdf Form and Instruction
SOR FR Notice.PDF System of Records Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Chronic Hazard Advisory Panel Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0	Chronic Hazard Advisory Panel Questionnaire	OMB_New_CHAP_Letter_Questionnaire.pdf		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: CPSC-2 Advisory Committee Records	FR Citation: 63 FR 250

Number of Respondents: 27	Number of Respondents for Small Entity: 27

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
System of Records Notice	SOR FR Notice.PDF	05/14/2009

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