Information Collection

Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey

IC 268163 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6200-035 Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey	Form
6200-035 Land Revitalization Technical Assistance to Brownfields LR TA evaluation questions.docx	Form
6200-035 Land Revitalization Technical Assistance to Brownfields LR TA evaluation questions.docx	Form
LR TA generic justification.docx Justification	IC Document
LR TA generic justification.docx Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.279

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	6200-035	Land Revitalization Technical Assistance to Brownfields Communities (LRTA) â Evaluation Questions	LR TA evaluation questions.docx		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

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	72	72
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	LR TA generic justification.docx	05/31/2024

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