Environmental and Climate Justice Community Change Technical Assistance

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

OMB: 2030-0051

IC ID: 268107

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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Environmental and Climate Justice Community Change Technical Assistance 2434.261
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5800-089 Environmental and Climate Justice Community Change Technical Assistance Request Form Environmental and Climate Justice Community Change TA Request.docx https://communitychangeta.org/request-technical-assistance Yes Yes Fillable Fileable

Environmental Management Environmental Monitoring and Forecasting

 

250 250
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 250 0 250 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Justification_CCTA.docx 05/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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