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Biomonitoring Interview Questionnaire, Subsistence Anglers
Biomonitoring of Great Lakes Populations Program II
OMB: 0923-0052
IC ID: 213780
OMB.report
HHS/TSDR
OMB 0923-0052
ICR 201506-0923-001
IC 213780
( )
Documents and Forms
Document Name
Document Type
Biomonitoring Interview Questionnaire, Subsistence Anglers
Form and Instruction
Biomonitoring Questionnaire Sub Anglers
Att8g_BiomQuestionnaire_SubsAnglers.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Biomonitoring Interview Questionnaire, Subsistence Anglers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
none
Biomonitoring Questionnaire Sub Anglers
Att8g_BiomQuestionnaire_SubsAnglers.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
0
0
0
50
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
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.