Information Collection Request

Data Collection for EnVision Center Demonstration Sites

ICR 201812-2528-002 · OMB 2528-0322 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-Day Notice of Proposed Information Collection-Data Collection for EnVision Center Demonstration Sites.pdf Supplementary Document Uploaded 2019-03-11 Available
final 2-28-19 - EC PRA Supporting Statement A.doc Supporting Statement A Uploaded 2019-02-28 Available
60-Day Notice EnVision Centers.pdf Supplementary Document Uploaded 2018-12-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
235142 EnVision Center Survey Other-Customer Satisfaction Survey New
235140 Quarterly Report Other-Quarterly Report New
235139 Action Plan Other-Action Plan New
235138 Letter of Commitment Other-Letter of Commitment New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved
41,200 0 0
6,850 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Letter of Commitment
Action Plan
Quarterly Report
EnVision Center Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 41,200 0 0 41,200 0 0
Annual Time Burden (Hours) 6,850 0 0 6,850 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No