NEARS Data Recording Form

National Environmental Assessment Reporting System (NEARS)

Documents and Forms

Document Name Document Type
Form 0920-0980 NEARS Data Recording Form Form and Instruction
0920-0980 Data Recording Form Att7 NEARS Data Recording (paper form) 7-22.docx Form and Instruction
0920-0980 Data Recording Form Att7 NEARS Data Recording (paper form) 7-22.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NEARS Data Recording Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	0920-0980	Data Recording Form	Att7 NEARS Data Recording (paper form) 7-22.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	308	8	300
Annual IC Time Burden (Hours)	154	4	150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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