Water Efficiency Collection - Private Sector

Reporting and Recordkeeping Requirements Under EPA's Water Efficiency Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0272 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-11 Water Efficiency Collection - Private Sector Form and Instruction
6100-11 New Certied Product Notification Form: Tank-Type High-Ef 2233.01 toilet_notification_form.pdf Form and Instruction
6100-15 New Certified Product Notification Form: High-Efficiency 2233.01faucet_notification_form.pdf Form and Instruction
6100-17 WaterSense Awards Application 2233supp03 - WaterSense Award Form.pdf Form
6100-16 WaterSense Awards Instruction Manual 2233supp03 - WaterSense Award Instructions.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Water Efficiency Collection - Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-11	New Certied Product Notification Form: Tank-Type High-Efficiency Toilet	2233.01 toilet_notification_form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	6100-15	New Certified Product Notification Form: High-Efficiency Lavatory Faucet	2233.01faucet_notification_form.pdf	Yes	Yes	Fillable Printable
Form	6100-17	WaterSense Awards Application	2233supp03 - WaterSense Award Form.pdf	No	No	Printable Only
Form and Instruction	6100-16	WaterSense Awards Instruction Manual	2233supp03 - WaterSense Award Instructions.pdf	No	No	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 427	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	427	427
Annual IC Time Burden (Hours)	6,721	6,721
Annual IC Cost Burden (Dollars)	123,286	123,286

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.