Lower Duwamish Waterway Superfund Site ICIAP "Fun to Catch, Toxic to Eat" Programmatic Evaluation Forms

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

OMB: 2030-0051

IC ID: 268119

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Lower Duwamish Waterway Superfund Site ICIAP "Fun to Catch, Toxic to Eat" Programmatic Evaluation Forms 2434.266
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 6700-021 CHA Behavior Survey CHA_BehaviorSurvey.pdf Yes Yes Fillable Printable
Form 6700-022 Pre-Assessment of CHAs-in-Training PREcurric_Final.pdf Yes Yes Fillable Printable
Form 6700-023 Post-Assessment of CHAs-in-Training POSTcurric_FINAL.pdf Yes Yes Fillable Printable
Form 6700-026 Fishers Workshop Background Survey FishersWG_BackgroundSurvey.pdf Yes Yes Fillable Printable
Form 6700-018 Fishers Workshop PRE-Survey FishersWG_PreSurvey.pdf Yes Yes Fillable Printable
Form 6700-019 Fishers Workshop POST-Survey FishersWG_PostSurvey.pdf Yes Yes Fillable Printable
Form 6700-020 Fishers Workshop Pledges FishersWG_Pledges.pdf Yes Yes Fillable Printable
Form 6700-017 Moms and Caregivers Background Survey MomsWG_BackgroundSurvey.pdf Yes Yes Fillable Printable
Form 6700-016 Moms and Caregivers Mini Quiz MomsWG_MiniQuiz.pdf Yes Yes Fillable Printable
Form 6700-015 Moms and Caregivers Pledges MomsWG_Pledges.pdf Yes Yes Fillable Printable
Form 6700-014 Moms and Caregivers Self-Assessment MomsWG_SelfAssessment.pdf Yes Yes Fillable Printable
Form 6700-013 Outreach Event Survey OutreachEventSurvey.pdf Yes Yes Fillable Printable

Environmental Management Environmental Remediation

 

675 0
   
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 675 0 675 0 0 0
Annual IC Time Burden (Hours) 323 0 323 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Justification_R10_Lower Duwamish Waterway ICIAP Program.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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