Voluntary Environmental Cleanup Communication and Outreach Initiative (ECCOI) Community Member Questionnaire

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Voluntary Environmental Cleanup Communication and Outreach Initiative (ECCOI) Community Member Questionnaire.docx Other-Web Survey
DoD ECCOI In-person Community Interview Questions (SCRIPT).docx Other-Script
0704-0553 ECCOI One Pager.docx 0704-0553 ECCOI One Pager IC Document

Information Collection (IC) Details

IC Title:	Voluntary Environmental Cleanup Communication and Outreach Initiative (ECCOI) Community Member Questionnaire	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Survey			Voluntary Environmental Cleanup Communication and Outreach Initiative (ECCOI) Community Member Questionnaire.docx		Yes	Yes	Fillable Fileable
Other-Script			DoD ECCOI In-person Community Interview Questions (SCRIPT).docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	74	74
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	646	646

Documents for IC

Title	Document	Date Uploaded
0704-0553 ECCOI One Pager	0704-0553 ECCOI One Pager.docx	06/26/2023

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