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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
2234questionnaire01.doc Other-Survey/Instructions
2234forminstructions201.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey/Instructions			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: 573	Number of Respondents for Small Entity: 305

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

Percentage of Respondents Reporting Electronically: 13 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	189	189
Annual IC Time Burden (Hours)	1,084	1,084
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.