BQASP Data Submission Form

NCEH DLS Laboratory Quality Assurance Programs

Documents and Forms

Document Name Document Type
BQASP Data Submission Form Form
BQASP Data Submission Form Perchlorate Att 3i-I. BQASP DataReturn_CIO4-.xlsx Form
BQASP Data Submission Form Perchlorate Att 3i-I. BQASP DataReturn_CIO4-.xlsx Form
BQASP Data Submission Form Cotinine Att 3i-I. BQASP DataReturn_Cotinine.xlsx Form
BQASP Data Submission Form Cotinine Att 3i-I. BQASP DataReturn_Cotinine.xlsx Form
BQASP Data Submission Form Pesticides Att 3i-I. BQASP DataReturn_Pest.xlsx Form
BQASP Data Submission Form Pesticides Att 3i-I. BQASP DataReturn_Pest.xlsx Form
BQASP Data Submission Form PFAS Att 3i-I. BQASP DataReturn_PFAS.xlsx Form
BQASP Data Submission Form PFAS Att 3i-I. BQASP DataReturn_PFAS.xlsx Form
BQASP Data Submission Form Phenols Att 3i-I. BQASP DataReturn_Phenols.xlsx Form
BQASP Data Submission Form Phenols Att 3i-I. BQASP DataReturn_Phenols.xlsx Form
BQASP Data Submission Form Phthalates Att 3i-I. BQASP DataReturn_Phthal.xlsx Form
BQASP Data Submission Form Phthalates Att 3i-I. BQASP DataReturn_Phthal.xlsx Form
BQASP Data Submission Form PAH Att 3i-I. BQASP DataReturnForm_PAH.xlsx Form
BQASP Data Submission Form PAH Att 3i-I. BQASP DataReturnForm_PAH.xlsx Form

Information Collection (IC) Details

IC Title:	BQASP Data Submission Form	Agency IC Tracking Number:	0920-22AW

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	BQASP Data Submission Form Perchlorate	Att 3i-I. BQASP DataReturn_CIO4-.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form Cotinine	Att 3i-I. BQASP DataReturn_Cotinine.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form Pesticides	Att 3i-I. BQASP DataReturn_Pest.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form PFAS	Att 3i-I. BQASP DataReturn_PFAS.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form Phenols	Att 3i-I. BQASP DataReturn_Phenols.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form Phthalates	Att 3i-I. BQASP DataReturn_Phthal.xlsx	Yes	Yes	Fillable Fileable
Form	n/a	BQASP Data Submission Form PAH	Att 3i-I. BQASP DataReturnForm_PAH.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	8	8
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.