DOC National Environmental Policy Act Environmental Questionnaire and Checklist

Forms and Documents

Document Name	Status
Form CD-593 DOC NEPA Environmental Questionnaire and Checklist Form and Instruction	New
0690.NEPA.Checklist.SuppStmt.112009.doc Supporting Statement A	2009-11-24
Ltr to OMB.NEPA.EQC.pdf Supplementary Document	2009-11-20

IC Document Collections

IC ID	Document Title	Status
191361	DOC NEPA Environmental Questionnaire and Checklist Form and Instruction	New

ICR Details

OMB Control No: 0690-0028	ICR Reference No: 200911-0690-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: DOC National Environmental Policy Act Environmental Questionnaire and Checklist
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/07/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2009
	Date Received in OIRA: 11/24/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	6 Months From Approved
Responses	200	0	0
Time Burden (Hours)	400	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Commerce (DOC) Environmental Questionnaire and Checklist (EQC) will allow for a more rapid review of infrastructure projects and facilitate DOC in evaluating the potential environmental impacts of a project and determining if a Categorical Exclusion (CE) to the National Environmental Policy Act (NEPA) applies to the project.

Emergency Justfication: On February 17, 2009, President Obama signed the “American Recovery and Reinvestment Act of 2009” (Recovery Act) into law (Pub.L.111-5, 123 stat 115(2009)). The Recovery Act funding authorization expires on September 30, 2010; therefore, demand for program funds are immediate. The emergency review and approval of the Commerce Department’s NEPA Environmental Questionnaire and Checklist will allow DOC to effectively determine the level of NEPA documentation required for each submitted project and meet the Recovery Act time restrictions.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DOC NEPA Environmental Questionnaire and Checklist	CD-593	U.S. DOC National Environmental Policy Act Environmental Questionnaire & Checklist

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200	0	0	200	0	0
Annual Time Burden (Hours)	400	0	0	400	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection thus a program change.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/24/2009

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