APPLICATION FOR FEDERAL ASSISTANCE PART IV NARRATIVE STATE (UNDERGROUND WATER SOURCE PROTECTION PROGRAM GRANTS)

ICR 197811-2000-001

OMB: 2000-0030

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2000-0030 197811-2000-001
Historical Active 197808-2000-003
EPA
APPLICATION FOR FEDERAL ASSISTANCE PART IV NARRATIVE STATE (UNDERGROUND WATER SOURCE PROTECTION PROGRAM GRANTS)
Revision of a currently approved collection   No
Regular
Approved without change 01/16/1979
Retrieve Notice of Action (NOA) 11/28/1978
  Inventory as of this Action Requested Previously Approved
08/31/1980 08/31/1980 09/30/1983
627 0 627
3,654 0 5,654
0 0 0



None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR FEDERAL ASSISTANCE PART IV NARRATIVE STATE (UNDERGROUND WATER SOURCE PROTECTION PROGRAM GRANTS) EPA 5700-33

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 627 627 0 0 0 0
Annual Time Burden (Hours) 3,654 5,654 0 0 -2,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/28/1978


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