Information Collection

Environmental and Historic Preservation Screening Form

IC 193035 under ICR 201612-1660-003 · OMB 1660-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0115 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 024-0-1 Environmental and Historic Preservation Screening Form	Form and Instruction
FEMA Form 024-0-1 Environmental and Historic Preservation Screening Form FEMA Form 024-0-1 Draft 1-30-2017.pdf [email protected]	Form and Instruction

IC Title:

Environmental and Historic Preservation Screening Form

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:

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	FEMA Form 024-0-1	Environmental and Historic Preservation Screening Form	FEMA Form 024-0-1 Draft 1-30-2017.pdf	[email protected]	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,800

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,800	-1,000	2,800
Annual IC Time Burden (Hours)	14,400	-8,000	22,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.