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Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)
OMB: 2030-0051
IC ID: 268112
OMB.report
EPA/OMS
OMB 2030-0051
ICR 202404-2030-001
IC 268112
( )
Documents and Forms
Document Name
Document Type
Form 6100-081
Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Form and Instruction
6100-081 Screener - Pretesting Outreach Materials for Fish Consum
Screener Guide_ Pretesting Outreach and Web Materials.docx
Form and Instruction
6100-081 Screener - Pretesting Outreach Materials for Fish Consum
Screener Guide_ Pretesting Outreach and Web Materials.docx
Form and Instruction
6100-082 Discussion Guide - Pretesting Outreach Materials for Fis
Discussion Guide_Pretesting Outreach and Web Materials.docx
Form and Instruction
6100-082 Discussion Guide - Pretesting Outreach Materials for Fis
Discussion Guide_Pretesting Outreach and Web Materials.docx
Form and Instruction
Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx
Justification
IC Document
Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx
Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Agency IC Tracking Number:
2434.263
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
Form and Instruction
6100-081
Screener - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Screener Guide_ Pretesting Outreach and Web Materials.docx
Yes
Yes
Fillable Fileable
Form and Instruction
6100-082
Discussion Guide - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Discussion Guide_Pretesting Outreach and Web Materials.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
120
0
120
0
0
0
Annual IC Time Burden (Hours)
112
0
112
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification
Justification_Pretesting Outreach Materials for Fish Consumption Advisories.docx
05/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.