Information Collection

Community members

IC 213376 under ICR 201811-2050-007 · OMB 2050-0211.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0211 can be found here:

Documents and Forms

Document Name Document Type
2470.01 Questionnaire 10.28.15.docx Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community members	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			2470.01 Questionnaire 10.28.15.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 62

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	250	250
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.