Information Collection

Community Change Technical Assistance Recipient Satisfaction Survey

IC 272036 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CCTA Community Satisfaction Survey (2434.287).docx	Other-Survey
CCTA Qualitative Feedback IC Request Template (2434.204).docx Generic IC Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.287

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
Other-Survey					Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,806

Number of Respondents for Small Entity: 602

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,806	1,806
Annual IC Time Burden (Hours)	1,806	1,806
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic IC Justification		10/31/2024

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

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