Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey

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

Documents and Forms

Document Name Document Type
Form 6200-035 Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey Form
6200-035 Land Revitalization Technical Assistance to Brownfields LR TA evaluation questions.docx Form
6200-035 Land Revitalization Technical Assistance to Brownfields LR TA evaluation questions.docx Form
LR TA generic justification.docx Justification IC Document
LR TA generic justification.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey	Agency IC Tracking Number:	2434.279

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	6200-035	Land Revitalization Technical Assistance to Brownfields Communities (LRTA) – Evaluation Questions	LR TA evaluation questions.docx		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	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	72	72
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	LR TA generic justification.docx	05/31/2024

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