LISS Partnership DEI/EJ Readiness Survey

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

Documents and Forms

Document Name Document Type
Form 6700-025 LISS Partnership DEI/EJ Readiness Survey Form
6700-025 LISS Partnership DEI/EJ Survey LISS Survey.docx Form
6700-025 LISS Partnership DEI/EJ Survey LISS Survey.docx Form
LISS Partnership DEI-EJ Survey Justification.docx Justification IC Document
LISS Partnership DEI-EJ Survey Justification.docx Justification IC Document

Information Collection (IC) Details

IC Title:	LISS Partnership DEI/EJ Readiness Survey	Agency IC Tracking Number:	2434.265

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	6700-025	LISS Partnership DEI/EJ Survey	LISS Survey.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: 120	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	LISS Partnership DEI-EJ Survey Justification.docx	05/30/2024

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