Information Collection

Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences

IC 268170 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

2434.281

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	6700-034	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

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.