Information Collection

Information Collection Request for the EPA National Environmental Performance Track Program

IC 23474 under ICR 200609-2010-001 · OMB 2010-0032.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1949SS05.doc www.epa.gov/performancetrack	Other-Webform

IC Title:

Agency IC Tracking Number:

1949.05

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-Webform				http://www.epa.gov/performancetrack	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 476

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,904	1,627	277
Annual IC Time Burden (Hours)	6,932	-106,507	113,439
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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