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

OMB 0923-0047

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2022-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920 [ATSDR] Heat and Health Tracker Evaluation Survey Form and Instruction
Form 0923-0047 [ATSDR] Environmental Justice Index Workshop Feedback Surveys Form and Instruction
[ATSDR] Environmental Health and Land Reuse (EHLR) Immersion Training Pilots Form and Instruction
Att 4 ATSDR 0923-0047 GnrcClrncQualFdbkTmpltapprvlFrm.docx Supplementary Document
Att 3- Srvc Dlvry HS Determination.pdf Supplementary Document
Att 2 60D FRN 0923-0047 2021.pdf Supplementary Document
1 - ATSDR 0923-0047 Extnsn 2021 SSB.docx Supporting Statement B
Att 1 EO12862 - Authority.pdf Supplementary Document
1 - ATSDR 0923-0047 Extnsn 2021 SSAv2.docx Supporting Statement A
[ATSDR] Heat and Health Tracker Evaluation Survey Form and Instruction
[ATSDR] Environmental Justice Index Workshop Feedback Surveys Form and Instruction
[ATSDR] Environmental Health and Land Reuse (EHLR) Immersion Training Pilots Form and Instruction

All Historical Document Collections

202110-0923-002 Approved without change	Revision of a currently approved collection	2021-11-16
201810-0923-002 Approved without change	Extension without change of a currently approved collection	2018-11-27
201510-0923-001 Approved without change	Revision of a currently approved collection	2015-10-22
201305-0923-003 Approved without change	New collection (Request for a new OMB Control Number)	2013-05-08
201302-0923-001 Improperly submitted	New collection (Request for a new OMB Control Number)	2013-02-08
201211-0923-002 Disapproved	New collection (Request for a new OMB Control Number)	2012-11-30

OMB Details

Wildfire Guide Assessment Interview

Federal Enterprise Architecture: Disaster Management - Disaster Preparedness and Planning

Form 0923-0047

Wildfire Guide Assessement Interview

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.