Information Collection Request for the EPA National Environmental Performance Track Program

Documents and Forms

Document Name Document Type
1949SS05.doc www.epa.gov/performancetrack Other-Webform

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Collection Request for the EPA National Environmental Performance Track Program	Agency IC Tracking Number:	1949.05

Is this a Common Form? No		IC Status: New

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
Other-Webform			1949SS05.doc	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: 393	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	393	393
Annual IC Time Burden (Hours)	818	818
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.