Information Collection

Environmental Protection Agency Form 5720-12, Application For Federal Assistance (construction)

IC 138368 under ICR 199008-2030-001 · OMB 2030-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0018 can be found here:

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Information Collection (IC) Details

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IC Title:	ENVIRONMENTAL PROTECTION AGENCY FORM 5720-12, APPLICATION FOR FEDERAL ASSISTANCE (CONSTRUCTION)	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0874.04				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 565	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	Previously Approved
Annual Number of Responses for this IC	565	-168	733
Annual IC Time Burden (Hours)	12,147	-3,612	15,759
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.