Information Collection

EPA Strategic Plan Information on Source Water Assessment and Protection (Renewal)

IC 23672 under ICR 200410-2040-001 · OMB 2040-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0197 can be found here:

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Information Collection (IC) Details

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IC Title:	EPA Strategic Plan Information on Source Water Assessment and Protection (Renewal)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1816.03				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	52	-52	104
Annual IC Time Burden (Hours)	150,931	-2,457,856	2,608,787
Annual IC Cost Burden (Dollars)	1,523,000	-5,579,000	7,102,000

Documents for IC

Title	Document	Date Uploaded

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