Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States

[CPR] U.S. National Authority for Containment of Poliovirus Data Collection Tools

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1424 can be found here:

Documents and Forms

Document Name Document Type
Form 0920 Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States Form and Instruction
0920 Poliovirus Containment Sampling Points and Sanitation As Att8_Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater_Final.pdf Form and Instruction
0920 Poliovirus Containment Sampling Points and Sanitation As Att8_Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater_Final.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Att 8- Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States	Agency IC Tracking Number:	0920-23BJ

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	0920	Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater (WW) Systems Supporting a Poliovirus- Essential Facility (PEF) in the United States	Att8_Poliovirus Containment Sampling Points and Sanitation Assessment Form for Wastewater_Final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	30	30
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.