Information Collection

Hazard Simplification Survey

IC 259001 under ICR 202405-0648-010 · OMB 0648-0342.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0342 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Hazard Simplification Survey	Form
Hazard Simplification Survey	Form
Hazard Simplification Survey Instrument 0648-0342 HazSimp Survey Instrument.docx	Form
Hazard Simplification Survey Instrument 0648-0342 HazSimp Survey Instrument.docx	Form
0648-0342 HazSimp Supplemental Questions Supporting Statement A.docx SUPPLEMENTAL QUESTIONS PART A	IC Document
0648-0342 HazSimp Supplemental Questions Supporting Statement A.docx SUPPLEMENTAL QUESTIONS PART A	IC Document
0648-0342 HazSimp Supplemental Questions Supporting Statement B.docx SUPPLEMENTAL QUESTIONS PART B	IC Document
0648-0342 HazSimp Supplemental Questions Supporting Statement B.docx SUPPLEMENTAL QUESTIONS PART B	IC Document

IC Title:

Hazard Simplification Survey

Agency IC Tracking Number:

IC Status: Unchanged

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	N/A	Hazard Simplification Survey Instrument	0648-0342 HazSimp Survey Instrument.docx		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: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SUPPLEMENTAL QUESTIONS PART A	0648-0342 HazSimp Supplemental Questions Supporting Statement A.docx	03/08/2023
SUPPLEMENTAL QUESTIONS PART B	0648-0342 HazSimp Supplemental Questions Supporting Statement B.docx	03/08/2023

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