Information Collection

Equitable Resilience Builder Tool Feedback Survey

IC 268159 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6000-030 Equitable Resilience Builder Tool Feedback Survey	Form
6000-030 Equitable Resilience Builder Tool Feedback Survey Equitable Resilience Builder Tool Feedback Survey.docx epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq	Form
6000-030 Equitable Resilience Builder Tool Feedback Survey Equitable Resilience Builder Tool Feedback Survey.docx epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq	Form
Justification ERB feedback Survey.docx Justification	IC Document
Justification ERB feedback Survey.docx Justification	IC Document

IC Title:

Equitable Resilience Builder Tool Feedback SurveyÂ

Agency IC Tracking Number:

2434.275

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	6000-030	Equitable Resilience Builder Tool Feedback Survey	Equitable Resilience Builder Tool Feedback Survey.docx	https://epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq	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: 813

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	813	813
Annual IC Time Burden (Hours)	203	203
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Justification ERB feedback Survey.docx	05/31/2024

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