View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Human Services and Environmental and Climate Justice: Considering Community Concerns and Program Options	Agency IC Tracking Number:

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
Other-Discussion Guide			05 Attachment B - Human Services-ECJ Discussion guide 8-9-22.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	60	0	60	0	0	0
Annual IC Time Burden (Hours)	45	0	45	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA	02 SSA - ASPE Generic_Human Services and EJ_8-9-22.docx	08/11/2022
SSB	03 SSB - ASPE Generic_Human Services and EJ_8-9-22.docx	08/11/2022
Attachment A - Recruitment Emails	04 Attachment A - Human Services-ECJ Recruitment Email 8-9-22.docx	08/11/2022
Cover Sheet	01 Coversheet Human Services-EJ project 8-9-22.docx	08/11/2022

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