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Public Health Emergency Workplace Response System
Public Health Emergency Workplace Response System (New)
OMB: 2030-0049
IC ID: 244693
OMB.report
EPA/OMS
OMB 2030-0049
ICR 202011-2030-001
IC 244693
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0049 can be found here:
2021-06-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Public Health Emergency Workplace Response System - Screenshots.docx
Other-Screenshots
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Public Health Emergency Workplace Response System
Agency IC Tracking Number:
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-Screenshots
Public Health Emergency Workplace Response System - Screenshots.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
250
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
250
0
250
0
0
0
Annual IC Time Burden (Hours)
63
0
63
0
0
0
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.