Information Collection

Certification For Exemption From Monitoring And Notification Of Process Changes In Effluent Regulations

IC 138462 under ICR 199307-2040-002 · OMB 2040-0033.

Documents and Forms

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Document Name	Document Type

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IC Title:

CERTIFICATION FOR EXEMPTION FROM MONITORING AND NOTIFICATION OF PROCESS CHANGES IN EFFLUENT REGULATIONS

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1014.04				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 316

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	316	316
Annual IC Time Burden (Hours)	897	897
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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