View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[ATSDR] Environmental Justice Index Workshop Feedback Surveys 0923-0047-23CS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0923-0047 AttB EJI Breakout Session Survey (online) AttB EJI Breakout Session Survey (Word).docx Yes Yes Fillable Fileable
Form and Instruction 0923-0047 AttC EJI Use Case Breakout Session Survey (Word) AttC EJI Use Case Breakout Session Survey (Word).docx Yes Yes Fillable Fileable
Form and Instruction 0923-0047 AttD EJI Explorer Demo Session Survey (Word) AttD EJI Explorer Demo Session Survey (Word).docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

1,320 0
   
Individuals or Households
 
   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 1,320 0 1,320 0 0 0
Annual IC Time Burden (Hours) 66 0 66 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AttB EJI Breakout Session Survey (online) AttB EJI Breakout Session Survey (online).pdf 02/27/2023
AttC EJI Use Case Breakout Session Survey (online) AttC EJI Use Case Breakout Session Survey (online).pdf 02/27/2023
AttD EJI Explorer Demo Survey (online) AttD EJI Explorer Demo Survey (online).pdf 02/27/2023
GenIC Request 0923-0047 GenIC_EJI_Wrkshp_Feedback_revised_signed.docx 02/27/2023
AttE STARS Determination Form AttE STARS Determination Form.pdf 02/27/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.