Information Collection

Environmental and Historic Preservation Environmental Screening Form

IC 193701 under ICR 201003-1660-007 · OMB 1660-0115.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0115 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 024-0-1 Environmental and Historic Preservation Environmental Screening Form Form and Instruction
FEMA Form 024-0-1 Environmental and Historic Preservation Screening Form Revised Screening Form, 7-8-2010.doc [email protected] Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Environmental and Historic Preservation Environmental Screening Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	FEMA Form 024-0-1	Environmental and Historic Preservation Screening Form	Revised Screening Form, 7-8-2010.doc	[email protected]	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 481	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	481	481
Annual IC Time Burden (Hours)	3,848	3,848
Annual IC Cost Burden (Dollars)	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.