Information Collection

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

IC 138359 under ICR 198502-2030-002 · OMB 2030-0014.

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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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	604	604
Annual IC Time Burden (Hours)	18,120	18,120
Annual IC Cost Burden (Dollars)	0	0

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