Information Collection

Part Iv (narrative Statement) Of The Assistance Application For State And Local Continuing Environmental Programs (0875)

IC 137857 under ICR 198212-2000-002 · OMB 2000-0137.

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Information Collection (IC) Details

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IC Title:	PART IV (NARRATIVE STATEMENT) OF THE ASSISTANCE APPLICATION FOR STATE AND LOCAL CONTINUING ENVIRONMENTAL PROGRAMS (0875)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	5700-33A	No	No
Form	B, F, G,	No	No
Form	H, I	No	No
Form	0875	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 604	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	604	429	175
Annual IC Time Burden (Hours)	18,120	7,620	10,500
Annual IC Cost Burden (Dollars)	0	0	0

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