Reporting and Recordkeeping Requirements Under EPA's Water Efficiency Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6100-10 Promotional Partner Checklist	Form and Instruction	New	Available
Form 6100-06 Partnership Agreement for Promotional Partners	Form and Instruction	New	Available
Form 6100-09 Annual Update	Form and Instruction	New	Available
Form 6100-09 Annual Update	Form and Instruction	New	Available
Form 6100-10 Promotional Partner Checklist	Form and Instruction	New	Available
Form 6100-11 New Certified Product Notification Form: Tank-Type High-Efficiency Toilets	Form and Instruction	New	Available
Form 6100-12 Partnership Agreement for Retailers and Distributors	Form and Instruction	New	Available
Form 6100-13 Partnership Agreement for Manufacturers	Form and Instruction	New	Available
Form 6100-06 Partnership Agreement for Promotional Partners	Form and Instruction	New	Available
Form 6100-08 Partnership Agreement for Professional Certifying Organizations	Form and Instruction	New	Available
Form 6100-07 Partnership Agreement for Certified Professionals	Form and Instruction	New	Available
2233ss01.doc	Supporting Statement A	Uploaded 2006-11-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46016	Water Efficiency Collection - State/Local Governments	Form and Instruction	New	Promotional Partner Checklist
46016	Water Efficiency Collection - State/Local Governments	Form and Instruction	New	Partnership Agreement for Promotional Partners
46016	Water Efficiency Collection - State/Local Governments	Form and Instruction	New	Annual Update
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Annual Update
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Promotional Partner Checklist
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	New Certified Product Notification Form: Tank-Type High-Efficiency Toilets
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Partnership Agreement for Retailers and Distributors
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Partnership Agreement for Manufacturers
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Partnership Agreement for Promotional Partners
46015	Water Efficiency Collection - Private Sector	Form and Instruction	New	Partnership Agreement for Professional Certifying Organizations
46014	Water Efficiency Collection - Individuals	Form and Instruction	New	Partnership Agreement for Certified Professionals

ICR Details

OMB Control No: 2040-0272	ICR Reference No: 200611-2040-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EPA/OW	Agency Tracking No: 2233.01
Title: Reporting and Recordkeeping Requirements Under EPA's Water Efficiency Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/10/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/06/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved
Responses	5,641	0	0
Time Burden (Hours)	50,081	0	0
Cost Burden (Dollars)	125,403	0	0

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Abstract: EPA’s Water Efficiency Program is a voluntary program designed to create self-sustaining markets for water efficient products and services via a common label. The program provides incentives for manufacturers to design, produce, and market water-efficient products. In addition, the program provides incentives for service providers (e.g., landscapers) to deliver water-efficient products. The program also encourages consumers and commercial and institutional purchasers of water-using products and systems to choose water-efficient products and engage in water-efficient practices. EPA’s Water Efficiency Program partners with manufacturers, retailers, utilities, state and local governments, NGOs, plumbers, developers, contractors, architects, landscapers, irrigation professionals, and service certification programs to market and adopt the Water Efficiency Program, and provide labeled products and programs. To participate in the program, organizations will complete a Partnership Agreement, which details the partner and EPA commitments under the program, and is signed by a senior official at both EPA and the partner organization. EPA asks manufacturers, certification programs, and builders to submit an EPA Water Efficiency Program New Certified Product Notification Form within 12 months of execution of the Partnership Agreement. This document provides EPA information to verify that the product or service meets EPA specifications based on independent testing. EPA will use this information to inform the public on water efficient products and services. In addition, EPA requests partners submit promotional plans and annual updates on progress implementing the program. EPA intends to use this information to identify partnership opportunities and assess progress meeting program goals. In the third year of the program, EPA plans to initiate an awards program that will require interested partners to submit an awards application form. Participation in the awards program is strictly voluntary. The purpose this information collection is to document partner successes for further recognition. Partners may designate certain information submitted under this ICR as confidential business information. All information identified as confidential business information collected under this ICR will not be available to the public. Participation on the awards program is entirely voluntary.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 44277	08/04/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 70760	12/06/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Water Efficiency Collection - Individuals	6100-07	Partnership Agreement for Certified Professionals
Water Efficiency Collection - Private Sector	6100-06, 6100-08, 6100-11, 6100-09, 6100-12, 6100-13, 6100-10	Partnership Agreement for Promotional Partners ,   Partnership Agreement for Professional Certifying Organizations ,   Partnership Agreement for Manufacturers ,   Partnership Agreement for Retailers and Distributors ,   New Certified Product Notification Form: Tank-Type High-Efficiency Toilets ,   Promotional Partner Checklist ,   Annual Update
Water Efficiency Collection - State/Local Governments	6100-09, 6100-06, 6100-10	Partnership Agreement for Promotional Partners ,   Annual Update ,   Promotional Partner Checklist

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,641	0	0	5,641	0	0
Annual Time Burden (Hours)	50,081	0	0	50,081	0	0
Annual Cost Burden (Dollars)	125,403	0	0	125,403	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $639,446

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/06/2006

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