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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.