Information Collection

User feedback for the Climate and Health Outlook

IC 265691 under ICR 202312-0990-004 · OMB 0990-0459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Document Name Document Type
0990-0459 FT GENERIC tool data collection_CHO.docx Other-Survey
0990_memo.docx Fast Track Generic Clearance for the Collection of Routine Customer Feedback memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	User feedback for the Climate and Health Outlook	Agency IC Tracking Number:

IC Status: New

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
Other-Survey			0990-0459 FT GENERIC tool data collection_CHO.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Generic Clearance for the Collection of Routine Customer Feedback memo	0990_memo.docx	03/22/2024

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