Laboratory Inspection Checklist

Mandatory Guidelines for Federal Workplace Drug Testing Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0158 can be found here:

Documents and Forms

Document Name Document Type
Form Urine Lab a_b_c Ch Laboratory Inspection Checklist Form and Instruction
Urine Lab a_b_c Ch Urine Lab a_b_c Checklist Att F 2010 Urine Lab a_b_c checklist.pdf Form and Instruction
IITF App Form IITF App Form Att G 2010 IITF App Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Laboratory Inspection Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Urine Lab a_b_c Checklist	Urine Lab a_b_c Checklist	Att F 2010 Urine Lab a_b_c checklist.pdf		Yes	Yes	Fillable Printable
Form and Instruction	IITF App Form	IITF App Form	Att G 2010 IITF App Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	70	-30	100
Annual IC Time Burden (Hours)	70	-230	300
Annual IC Cost Burden (Dollars)	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.