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Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)
OMB: 2030-0051
IC ID: 268170
OMB.report
EPA/OMS
OMB 2030-0051
ICR 202404-2030-001
IC 268170
( )
Documents and Forms
Document Name
Document Type
Form 6700-034
Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences
Form
6700-034 Healthy Homes and ECO Neighborhoods Survey
HH_ENI Survey.docx
Form
6700-034 Healthy Homes and ECO Neighborhoods Survey
HH_ENI Survey.docx
Form
6700-035 Healthy Homes Assessment and Energy Audit Feedback
HH Assessment and Energy Audit Feedback.docx
Form
6700-035 Healthy Homes Assessment and Energy Audit Feedback
HH Assessment and Energy Audit Feedback.docx
Form
Justification_Healthy Homes and ECO Neighborhoods Project.docx
Justification
IC Document
Justification_Healthy Homes and ECO Neighborhoods Project.docx
Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences
Agency IC Tracking Number:
2434.281
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
6700-034
Healthy Homes and ECO Neighborhoods Survey
HH_ENI Survey.docx
No
Printable Only
Form
6700-035
Healthy Homes Assessment and Energy Audit Feedback
HH Assessment and Energy Audit Feedback.docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
1,200
0
1,200
0
0
0
Annual IC Time Burden (Hours)
300
0
300
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification
Justification_Healthy Homes and ECO Neighborhoods Project.docx
06/18/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.