NVEAIS Data Reporting Instrument

National Voluntary Environmental Assessment Information System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0980 can be found here:

Documents and Forms

Document Name Document Type
NVEAIS Data Reporting Instrument Form
NVEAIS Data Reporting Instrument Att4-NVEAIS Data Reporting Instrument 20130321.doc Form
NVEAIS Screenshots Att7- Sample Screenshots of the Web-based NVEAIS 20130321.docx Form

Information Collection (IC) Details

IC Title:	NVEAIS Data Reporting Instrument	Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	NVEAIS Data Reporting Instrument	Att4-NVEAIS Data Reporting Instrument 20130321.doc		Yes	Yes	Fillable Fileable
Form	none	NVEAIS Screenshots	Att7- Sample Screenshots of the Web-based NVEAIS 20130321.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	1,400	1,400
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.