UNCOVER EH Survey

Understanding the Needs, Challenges, Opportunities, Vision and Emerging Roles in Environmental Health (UNCOVER EH)

Documents and Forms

Document Name Document Type
UNCOVER EH Survey Form
Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (clean text).docx Other-Supplementary Document - clean
Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (track changes).docx Other-Supplementary Document - track
UNCOVER EH Survey (Revised October 2017) Attachment 5b_REVISED Oct 2017. UNCOVER EH Survey (online).docx Form

Information Collection (IC) Details

IC Title:	UNCOVER EH Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	UNCOVER EH Survey (Revised October 2017)	Attachment 5b_REVISED Oct 2017. UNCOVER EH Survey (online).docx	Yes	Yes	Fillable Fileable
Other-Supplementary Document - clean copy of revised survey text			Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (clean text).docx	No		Paper Only
Other-Supplementary Document - track changes copy of revised survey text			Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (track changes).docx	No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,000	16,000
Annual IC Time Burden (Hours)	8,000	8,000
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.