Information Collection

Chlorine and Chlorinated Hydrocarbon Manufacturing Segment Questionnaire

IC 178315 under ICR 200701-2040-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-14 Chlorine and Chlorinated Hydrocarbon Manufacturing Segment Questionnaire	Form and Instruction
6100-14 Chlorine and Chlorinated Hydrocarbon Manufacturing Segme 2214.01 Questionnaire.pdf www.epa.gov/waterscience/guide	Form and Instruction

IC Title:

Agency IC Tracking Number:

2214.01

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Form and Instruction	6100-14	Chlorine and Chlorinated Hydrocarbon Manufacturing Segment Questionnaire	2214.01 Questionnaire.pdf	http://www.epa.gov/waterscience/guide	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: 65

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	28,300	28,300
Annual IC Cost Burden (Dollars)	3,810	3,810

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.