Customer Satisfaction Survey for State Government Officials on ORD Research Area Coordination Teams

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

OMB: 2030-0051

IC ID: 268086

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Form
Form
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Customer Satisfaction Survey for State Government Officials on ORD Research Area Coordination Teams 2434.240
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5800-041 ORD State Engagement Feedback Survey on RACT Participation ORD State Engagement Feedback Survey on RACT Participation.docx Yes Yes Fillable Fileable

Environmental Management Pollution Prevention and Control

 

40 0
   
State, Local, and Tribal Governments
 
   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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification State RACT survey_justification.docx 05/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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