OMB control number
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form
OMB 3041-0142 · CPSC.
OMB 3041-0142
CPSC staff will fill in the form during the course of a pool and spa inspection to determine if the swimming pool and spa drain cover meets the requirements of ANSI/APSP 16 2017.
The latest form for Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form expires 2026-04-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Form CPSC 120 Compliance Verification Form
Virginia Graeme Baker Pool and Spa Safety Act Verification of Compliance Form All Historical Document Collections
| Extension without change of a currently approved collection | 2026-03-30 | ||
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Approved without change |
Extension without change of a currently approved collection | 2022-11-14 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-10-25 | |
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Approved without change |
Extension without change of a currently approved collection | 2019-09-05 | |
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Approved without change |
Revision of a currently approved collection | 2016-07-22 | |
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Approved without change |
Revision of a currently approved collection | 2013-07-10 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2011-09-06 | |
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Approved without change |
Existing collection in use without an OMB Control Number | 2010-05-28 |