Information Collection

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

IC 45410 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
2234questionnaire01.doc Other-Survey/Instruction
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/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: 44	Number of Respondents for Small Entity: 10

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 14 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	99	99
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.