Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form

ICR 202110-3041-001 · OMB 3041-0142 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3041-0142 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form CPSC 120 Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form	Form	Modified	Repair queued
Memo_Update of Compliance Form for VGBA Inspections - Non-Substantive Change.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2021-10-25	Repair queued
30DayFRN_2019-18747.pdf	Supplementary Document	Uploaded 2019-09-05	Repair queued
60DayFRN_2019-12550.pdf	Supplementary Document	Uploaded 2019-09-05	Repair queued
VGB_Supporting_Statement_20190905.pdf	Supporting Statement A	Uploaded 2019-09-05	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
191497	Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form	Form	Modified

ICR Details

OMB Control No: 3041-0142	ICR Reference No: 202110-3041-001
Status: Received in OIRA	Previous ICR Reference No: 201909-3041-001
Agency/Subagency: CPSC	Agency Tracking No:
Title: Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/25/2021

	Requested	Previously Approved
Expiration Date	11/30/2022	11/30/2022
Responses	100	100
Time Burden (Hours)	300	300
Cost Burden (Dollars)	0	0

Abstract: CPSC staff will fill in the form during the course of a pool and spa inspection to determine if the swimming pool and spa drain cover meets the requirements of ANSI/APSP 16 2017.

Authorizing Statute(s): PL: Pub.L. 110 - 140 1404(b) Name of Law: Virginia Graeme Baker Pool and Spa Safety Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 27772	06/14/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 45736	08/30/2019
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form	CPSC 120, CPSC 120	Compliance Verification Form , Compliance Verification Form

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	100	100
Annual Time Burden (Hours)	300	300
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $25,984

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Cynthia Gillham 301 504-7701 [email protected]

Common Form ICR: No