Information Collection

LISS Partnership DEI/EJ Readiness Survey

IC 268118 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6700-025 LISS Partnership DEI/EJ Readiness Survey	Form
6700-025 LISS Partnership DEI/EJ Survey LISS Survey.docx	Form
6700-025 LISS Partnership DEI/EJ Survey LISS Survey.docx	Form
LISS Partnership DEI-EJ Survey Justification.docx Justification	IC Document
LISS Partnership DEI-EJ Survey Justification.docx Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.265

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
Form	6700-025	LISS Partnership DEI/EJ Survey	LISS Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	LISS Partnership DEI-EJ Survey Justification.docx	05/30/2024

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