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EERE Environmental Questionnaire - Limited
NEPA Environmental Analysis
OMB: 1910-5175
IC ID: 211747
OMB.report
DOE/DOEOA
OMB 1910-5175
ICR 202402-1910-004
IC 211747
( )
Documents and Forms
Document Name
Document Type
Form DOE F 540.30
EERE Environmental Questionnaire - Limited
Form and Instruction
DOE F 540.30 Enviromental Questionnaire
DOE F 540.30 Environmental Questionnaire.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
EERE Environmental Questionnaire - Limited
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
DOE F 540.30
Enviromental Questionnaire
DOE F 540.30 Environmental Questionnaire.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
45
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
45
0
0
0
0
45
Annual IC Time Burden (Hours)
23
0
0
0
0
23
Annual IC Cost Burden (Dollars)
1,518
0
0
0
0
1,518
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.