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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Viburnum Trend Lead Haul Roads, Operable Unit 2 – 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:

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 – 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 %

	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

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.