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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Document Name	Document Type

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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:

table that charts list of 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 %

table that charts list of burden
	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

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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