Michigan Biomonitoring of Great Lakes Populations

Biomonitoring of Great Lakes Populations Program

Documents and Forms

Document Name Document Type
Form 0923-0044 Michigan Biomonitoring of Great Lakes Populations Form and Instruction
0923-0044 Att3_MI_BiomQs_20120619 Att3_MI_BiomQs_20120619.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Michigan Biomonitoring of Great Lakes Populations	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	0923-0044	Att3_MI_BiomQs_20120619	Att3_MI_BiomQs_20120619.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

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	50	50
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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