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Equitable Resilience Builder Tool Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)
OMB: 2030-0051
IC ID: 268159
OMB.report
EPA/OMS
OMB 2030-0051
ICR 202404-2030-001
IC 268159
( )
Documents and Forms
Document Name
Document Type
Form 6000-030
Equitable Resilience Builder Tool Feedback Survey
Form
6000-030 Equitable Resilience Builder Tool Feedback Survey
Equitable Resilience Builder Tool Feedback Survey.docx
epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq
Form
6000-030 Equitable Resilience Builder Tool Feedback Survey
Equitable Resilience Builder Tool Feedback Survey.docx
epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq
Form
Justification ERB feedback Survey.docx
Justification
IC Document
Justification ERB feedback Survey.docx
Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Equitable Resilience Builder Tool Feedback Survey
Agency IC Tracking Number:
2434.275
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
6000-030
Equitable Resilience Builder Tool Feedback Survey
Equitable Resilience Builder Tool Feedback Survey.docx
https://epaenterprise.gov1.qualtrics.com/jfe/form/SV_eUKpWrT5vshb1oq
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
813
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 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
813
0
813
0
0
0
Annual IC Time Burden (Hours)
203
0
203
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification
Justification ERB feedback Survey.docx
05/31/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.