Households

Study on Uranium and Other Trace Metals in Bedrock Wells in South-East New Hampshire

Documents and Forms

Document Name Document Type
SurveyInstrument_December 6.docx Other-Survey

Information Collection (IC) Details

IC Title:	Households	Agency IC Tracking Number:	1028-NEW NHWELL

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
Other-Survey			SurveyInstrument_December 6.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title: USGS, USGS-01, ``National Water Information System: NWIS''	FR Citation: 73 FR 54425

Number of Respondents: 350	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	350	350
Annual IC Time Burden (Hours)	117	117
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.