Region 10 Grants Questionnaire

Voluntary Customer Service Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2090-0019 can be found here:

Documents and Forms

Document Name Document Type
1711ss - Generic R10 Grants.doc Other-Survey
1711ss - Generic R10 Grants.doc Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Region 10 Grants Questionnaire	Agency IC Tracking Number:

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-Survey			1711ss - Generic R10 Grants.doc		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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 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	200	0	0	0	0	0
Annual IC Time Burden (Hours)	23	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	1711ss - Generic R10 Grants.doc	08/28/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.