Information Collection

Information Collection Request for the 2007 Drinking Water Infrastructure Needs Survey and Assessment (DWINSA)

IC 45408 under ICR 200609-2040-002 · OMB 2040-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0274 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2234questionnaire01.doc	Other-Survey/Instruction
2234forminstructions201.doc	Instruction

IC Title:

Information Collection Request for the 2007 Drinking Water Infrastructure Needs Survey and Assessment (DWINSA)

Agency IC Tracking Number:

2234.01

Is this a Common Form? No

IC Status: New

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-Survey/Instruction			2234questionnaire01.doc		Yes	Yes	Fillable Fileable
Instruction			2234forminstructions201.doc		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,520

Number of Respondents for Small Entity: 285

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	832	832
Annual IC Time Burden (Hours)	6,403	6,403
Annual IC Cost Burden (Dollars)	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.