DERT Climate Assessment (NIEHS)

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

OMB: 0925-0648

IC ID: 245075

Information Collection (IC) Details

View Information Collection (IC)

DERT Climate Assessment (NIEHS)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 NIEHS DERT Climate Assessment NIEHS DERT Climate Survey Screenshots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

70 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 70 0 0 0 0 70
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
fast track for NIEHS DERT Climate Survey Fast Track Template- NIEHS DERT Climate Survey.docx 12/22/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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