Information Collection

Your Environment, Your Health Town Hall Satisfaction Survey (NIEHS)

IC 266425 under ICR 202103-0925-003 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey Your Environment, Your Health Town Hall Satisfaction Survey (NIEHS)	Form
1 Survey Your Environment, Your Health Town Hall Satisfaction Zoom Survey Questions.docx	Form
PEGS Town Hall Messaging.pdf Email Correspondence	IC Document
8APR2024 Your Environment Your Health Town Hall Satisfaction Survey 0925-0648.docx Template	IC Document

IC Title:

Your Environment, Your Health Town Hall Satisfaction Survey (NIEHS)

Agency IC Tracking Number:

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	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Correspondence		04/08/2024
Template		04/08/2024

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

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