0923-0048 Form 500
ATSDR Exposure Investigations (EIs)
P_AppxI7_Form 500 - Public Tap Kitchen Tap Collection
OMB: 0923-0048
Appendix I7.
Form
Approved
OMB
No. 0923-0048 Exp. Date 06/30/2022
FORM 500
ATSDR
estimates the average public reporting burden for this collection of
information as 5 minutes per response, including the time for
reviewing instructions, searching existing data/information sources,
gathering, and maintaining the data/information needed, and
completing and reviewing the collection of information. An agency
may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid
OMB Control Number. Send comments regarding this burden estimate or
any other aspect of this collection of information, including
suggestions for reducing this burden to CDC/ATSDR Information
Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta,
Georgia 30333; ATTN: PRA (0923-0048).
___________________________ |
___________________________ |
Place ID Sticker Here |
Inspector and Date |
|
|
|
|
Sample Number: W-P-1 |
General Comments:
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
© 2025 OMB.report | Privacy Policy