Information Collection Request

CEQ Stakeholder Engagement

ICR 202206-0331-001 · OMB 0331-0004 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0331-0004-005 Environmental Justice Website Feedback Survey Form New Repair queued
Environmental Justice Scorecard Feedback Survey Form New Repair queued
Form 0331-0004-003 CEJST v11.0 Census Tract Survey Form and Instruction New Repair queued
Form 0331-0004-002 CEJST-Data Survey Form and Instruction New Available
Form 0331-0004-001 CEJST-Site Satisfaction Survey Form and Instruction New Available
FINAL Supporting Statement - Generic Clearance-Part B.docx Supporting Statement B Uploaded 2022-06-21 Available
FINAL Supporting Statement - Generic Clearance-Part A.docx Supporting Statement A Uploaded 2022-06-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269429 Environmental Justice Website Feedback Survey Form NewEnvironmental Justice Website Feedback Survey
259359 Environmental Justice Scorecard Feedback Survey Form NewEnvironmental Justice Scorecard Feedback Survey
256363 CEJST v1.0-Census Tract Feedback Survey Form and Instruction NewCEJST v11.0 Census Tract Survey
255792 Climate and Economic Justice Screening Tool-Data Survey Form and Instruction NewCEJST-Data Survey
255751 Climate and Economic Justice Screening Tool-Site Satisfaction Form and Instruction NewCEJST-Site Satisfaction Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2025 36 Months From Approved
125,000 0 0
10,400 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
CEJST v1.0-Census Tract Feedback Survey 0331-0004-003
Climate and Economic Justice Screening Tool-Data Survey 0331-0004-002
Climate and Economic Justice Screening Tool-Site Satisfaction 0331-0004-001
Environmental Justice Scorecard Feedback Survey N/A
Environmental Justice Website Feedback Survey 0331-0004-005

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 125,000 0 0 125,000 0 0
Annual Time Burden (Hours) 10,400 0 0 10,400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No