Information Collection

HRSA NEPA Environmental Information and Documentation

IC 189032 under ICR 200910-0915-001 · OMB 0915-0324.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0324 can be found here:

Documents and Forms

Document Name Document Type
Form 0324 HRSA NEPA Environmental Information and Documentation Form and Instruction
0324 HRSA NEPA EID HRSA_NEPA_EID.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HRSA NEPA Environmental Information and Documentation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0324	HRSA NEPA EID	HRSA_NEPA_EID.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,734	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,734	1,600	1,134
Annual IC Time Burden (Hours)	2,734	1,600	1,134
Annual IC Cost Burden (Dollars)	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.