DOC NEPA Environmental Questionnaire and Checklist

DOC National Environmental Policy Act Environmental Questionnaire and Checklist

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0028 can be found here:

Documents and Forms

Document Name Document Type
Form CD-593 DOC NEPA Environmental Questionnaire and Checklist Form and Instruction
CD-593 U.S. DOC National Environmental Policy Act Environmental NEPA Checklist.Collection Instrument.pdf http://ocio.os.doc.gov/s/groups/public/@doc/@os/@ocio/@oitpp/documents/content/prod01_008657.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	DOC NEPA Environmental Questionnaire and Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CD-593	U.S. DOC National Environmental Policy Act Environmental Questionnaire & Checklist	NEPA Checklist.Collection Instrument.pdf	http://ocio.os.doc.gov/s/groups/public/@doc/@os/@ocio/@oitpp/documents/content/prod01_008657.pdf	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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