OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Community Injects Related to Local Environmental Justice and Climate Change Impacts

IC 258671 under ICR 202507-0970-008 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Instrument 1: Interview Script
Other-Instrument 1: Interview Script
Other-Instrument 2: Focus Group Scri
Other-Instrument 2: Focus Group Scri
Other-Instrument 3: Group Interview
Other-Instrument 3: Group Interview
Other-Instrument 4: Outreach Email
Other-Instrument 4: Outreach Email
Other-Instrument 5: Invitation Email
Other-Instrument 5: Invitation Email
Other-Instrument 7: Federal Summit F
Other-Instrument 7: Federal Summit F
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Community Injects Related to Local Environmental Justice and Climate Change Impacts
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Instrument 1: Interview Script IC 1 Individual Stakeholder Interviews_ACF_CLEAN.docx Yes Yes Fillable Fileable
Other-Instrument 2: Focus Group Script IC 2 Community Focus Groups_ACF_CLEAN.docx Yes Yes Fillable Fileable
Other-Instrument 3: Group Interview Scripts IC 3 Community Focus Groups + Individual Interviews_OASH_CLEAN.docx Yes Yes Fillable Fileable
Other-Instrument 4: Outreach Email IC 4 Community Representative Interview Request Email_CLEAN.docx Yes Yes Fillable Fileable
Other-Instrument 5: Invitation Email IC 5 Focus Group Invitation Email_CLEAN.docx Yes Yes Fillable Fileable
Other-Instrument 7: Federal Summit Focus Group IC 7 Federal Summit Focus Group_fnl.docx Yes Yes Printable Only

Community and Social Services Social Services

 

881 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 881 0 0 0 0 881
Annual IC Time Burden (Hours) 1,076 0 0 0 0 1,076
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A - OSHEPR Climate Change GenIC.docx SSA_Amended_ACF Response_06122023_cln.docx 06/13/2023
Change Request - Community Injects Related to Local Environmental Justice and Climate Change Impacts - Add Focus Group #7 Change Request - OSHEPR Climate Change GenIC.docx 06/13/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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