Promise to Address Comprehensive Toxics (PACT) Act Outreach survey

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

OMB: 2900-0876

IC ID: 259612

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

View Information Collection (IC)

Promise to Address Comprehensive Toxics (PACT) Act Outreach survey 2900-0876 Promise to Address Comprehensive Toxics
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Promise to Address Comprehensive Toxics (PACT) Act Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Wireframe PACT Outreach.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100,000 0
   
Individuals or Households
 
   100 %

  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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 8,333 0 0 0 0 8,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
A-11 Fast-Track Clearance Request Template PACT Act Outreach Survey A-11 Fast-Track Clearance Request Template_PACT Act Outreach Survey.pdf 04/10/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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