DOC NEPA Environmental Questionnaire and Checklist

DOC National Environmental Policy Act Environmental Questionnaire and Checklist

Documents and Forms

Document Name Document Type
DOC NEPA Environmental Questionnaire and Checklist Form and Instruction
DOC NEPA Environmental Questionnaire and Checklist NEPA.EQChecklist 0690-0028 Renewal 2023.docx Form and Instruction
DOC NEPA Environmental Questionnaire and Checklist NEPA.EQChecklist 0690-0028 2023 Updated.docx 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	None	DOC NEPA Environmental Questionnaire and Checklist	NEPA.EQChecklist 0690-0028 2023 Updated.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	1,000	1,000

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.