Pretesting Outreach and Web Materials for Fish Consumption Advisories

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0051 can be found here:

Documents and Forms

Document Name Document Type
Form 5800-015 Pretesting Outreach and Web Materials for Fish Consumption Advisories Form and Instruction
5800-015 Final Screener Final Fish image screener_12-10-2020.docx Form and Instruction
5800-14 Discussion Guide Final Discussion Guide 12-10-2020.docx Form and Instruction
Second Submittal Fish Image Testing ICR 12.08.20.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Pretesting Outreach and Web Materials for Fish Consumption Advisories	Agency IC Tracking Number:	2434.130

IC Status: New

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
Form and Instruction	5800-015	Final Screener	Final Fish image screener_12-10-2020.docx		No		Paper Only
Form and Instruction	5800-14	Discussion Guide	Final Discussion Guide 12-10-2020.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	44	44
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Second Submittal Fish Image Testing ICR 12.08.20.docx	03/11/2021

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