OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

User feedback revised Office of Climate Change and Health Equity website

IC 266104 under ICR 202409-0990-001 · OMB 0990-0379.

Documents and Forms
Document Name
Document Type
Other-Qualitative data collection in
Other-Qualitative data collection in
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

User feedback revised Office of Climate Change and Health Equity website
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Qualitative data collection instrument/process UXdraft.docx Yes Yes Fillable Fileable

Health Health Care Services

 

40 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   15 %

  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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 13 0 0 0 0 13
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo Qualitativesubmission_memo.docx 03/22/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.