APPLICATION FOR NONCONVENTIONAL POLLUTANT WAIVER

ICR 198401-2040-012

OMB: 2040-0067

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
138527 Migrated
ICR Details
2040-0067 198401-2040-012
Historical Active 198311-2000-014
EPA/OW
APPLICATION FOR NONCONVENTIONAL POLLUTANT WAIVER
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/13/1984
Retrieve Notice of Action (NOA) 01/13/1984
  Inventory as of this Action Requested Previously Approved
10/31/1984 10/31/1984
200 0 0
30,000 0 0
0 0 0

PERMITTEE MAY REQUEST A WAIVER FORM NONVONVENTIONAL POLLUTANT STANDARD BY SUBMITTING TECHNICAL DATA ON THE EFFLUENT AND RECEIVING WATERS. THE PERMIT AUTHORITY MAY GRANT THE WIAVER IF IT DETERMINESE THAT WATER QUALITY IS MAINTAINED AND THAT A BALANCED POPULATION OF FISH AND WILDLIFE IS PROTECTED.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR NONCONVENTIONAL POLLUTANT WAIVER 0017

  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 200 0 0 0 200 0
Annual Time Burden (Hours) 30,000 0 0 0 30,000 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.
01/13/1984


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