Understanding Lead Pre-Survey – Community Lead Awareness (CLA)

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

Documents and Forms

Document Name Document Type
Form 9600-032 Understanding Lead Pre-Survey – Community Lead Awareness (CLA) Form
9600-032 Understanding Lead Pre-Survey Instrument_PreUL_CLA.docx Form
9600-032 Understanding Lead Pre-Survey Instrument_PreUL_CLA.docx Form
Justification_PreUL_CLA.docx Justification IC Document
Justification_PreUL_CLA.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Understanding Lead Pre-Survey – Community Lead Awareness (CLA)	Agency IC Tracking Number:	2434.251

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 745

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	9600-032	Understanding Lead Pre-Survey	Instrument_PreUL_CLA.docx		Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	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	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Justification_PreUL_CLA.docx	05/30/2024

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