NEARS Data Recording Form

[NCEH] National Environmental Assessment Reporting System (NEARS)

Documents and Forms

Document Name Document Type
NEARS Data Recording Form Form and Instruction
Data Recording Form Att6 NEARS Environmental Assessment Recording Form 11-25_final.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NEARS Data Recording Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	n/a	Data Recording Form	Att6 NEARS Environmental Assessment Recording Form 11-25_final.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,104	796	308
Annual IC Time Burden (Hours)	460	306	154
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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