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EHSS-21 Stakeholder Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1910-5160
IC ID: 260668
OMB.report
DOE/DOEOA
OMB 1910-5160
ICR 202602-1910-005
IC 260668
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
EHSS-21 Stakeholder Survey
Agency IC Tracking Number:
Cate Berard
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-Survey
EHSS-21 Stakeholder Survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
123
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
123
0
0
0
0
123
Annual IC Time Burden (Hours)
21
0
0
0
0
21
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Submission Template
Generic Clearance Submission_EHSS21 Customer Survey.docx
06/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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