Information Collection

Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey

IC 246393 under ICR 202012-2010-001 · OMB 2010-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	Form
5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Jo generic-customer_SURVEYSCRIPT_Mammoliti.docx	Form
5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Jo generic-customer_SURVEYSCRIPT_Mammoliti.docx	Form
generic-customer-survey-template_Mammoliti.pdf Justification	IC Document
generic-customer-survey-template_Mammoliti.pdf Justification	IC Document

IC Title:

Viburnum Trend Lead Haul Roads, Operable Unit 2 â St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey

Agency IC Tracking Number:

2434.147

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	5800-050	Viburnum Trend Lead Haul Roads, Operable Unit 2 â St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	generic-customer_SURVEYSCRIPT_Mammoliti.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	generic-customer-survey-template_Mammoliti.pdf	03/23/2021

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