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Information Collection

Environmental Information and Documentation Checklist

IC 189032 under ICR 202501-0915-001 · OMB 0915-0324.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Environmental Information and Documentation Checklist
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 FORM - environmental_checklist - 051625 (clean)_final.docx FORM - environmental_checklist - 051625 (clean)_final.docx Yes Yes Fillable Fileable
Form 1_R FORM - environmental_checklist - 051625 (redline)_final.docx FORM - environmental_checklist - 051625 (redline)_final.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,500 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved 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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 1,500 0 0 0 0 1,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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