Information Collection Request

Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form

ICR 202211-3041-003 · OMB 3041-0142 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3041-0142 can be found here:

Forms and Documents

Document Name	Status
Form CPSC 120 Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form Form	Modified
30DayNotice_87FR65194_28October2022.pdf Supplementary Document	2022-11-14
60DayNotice_87FR50612_17August2022.pdf Supplementary Document	2022-11-14
PoolSpaDrainSafetyCover_Supporting_Statement_2022.docx Supporting Statement A	2022-11-14
Memo_Update of Compliance Form for VGBA Inspections - Non-Substantive Change.pdf Justification for No Material/Nonsubstantive Change	2021-10-25

IC Document Collections

IC ID	Document Title	Status
191497	Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	CPSC
OMB Control No	3041-0142
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202110-3041-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31