Information Collection

Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data

IC 236243 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1154 Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data	Form and Instruction
0920-1154 Key Informant Interview Plan Att1_KeyInformantInterviewPlan.docx	Form and Instruction
Att2_KeyInformantInterviewRequestLetter.docx Request Letter	IC Document
Att3_KeyInformantInterviewReminderLetter.docx Reminder Letter	IC Document
Att4_RDF.pdf Research Determination	IC Document
GenICRequest_OpenDataGenIC.docx GenIC Request Template	IC Document
SSB_OpenDataGenIC.docx SSB	IC Document
SSA_OpenDateGenIC_053019_clean.docx SSA	IC Document

IC Title:

Formative Research to Develop an Open Data Standard for Reporting Environmental Health Data

Agency IC Tracking Number:

0920-1154-19BCT

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1154	Key Informant Interview Plan	Att1_KeyInformantInterviewPlan.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request Letter	Att2_KeyInformantInterviewRequestLetter.docx	05/30/2019
Reminder Letter	Att3_KeyInformantInterviewReminderLetter.docx	05/30/2019
Research Determination	Att4_RDF.pdf	05/30/2019
GenIC Request Template	GenICRequest_OpenDataGenIC.docx	05/30/2019
SSB	SSB_OpenDataGenIC.docx	05/30/2019
SSA	SSA_OpenDateGenIC_053019_clean.docx	05/30/2019

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