NEARS Manager Interview

National Environmental Assessment Reporting System (NEARS)

Documents and Forms

Document Name Document Type
Form 0920-0980 NEARS Manager Interview Form and Instruction
0920-0980 Manager Interview Att9 NEARS Manager Interview (paper form) 7-22.docx Form and Instruction
0920-0980 Manager Interview Att9 NEARS Manager Interview (paper form) 7-22.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NEARS Manager Interview	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	Manager Interview	Att9 NEARS Manager Interview (paper form) 7-22.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,232	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,232	32	1,200
Annual IC Time Burden (Hours)	411	11	400
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.