Water Efficiency Collection - State/Local Governments

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⚠️ Notice: This information collection may be referencing outdated material.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 6100-15 Water Efficiency Collection - State/Local Governments Form and Instruction
6100-15 New Certified Product Notification Form: High-Efficiency 2233.01faucet_notification_form.pdf Form and Instruction
2233.01 Faucet form Justification.doc 2233 IC Document

Information Collection (IC) Details

IC Title:	Water Efficiency Collection - State/Local Governments	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-15	New Certified Product Notification Form: High-Efficiency Lavatory Faucet	2233.01faucet_notification_form.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 214	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	214	214
Annual IC Time Burden (Hours)	3,360	3,360
Annual IC Cost Burden (Dollars)	2,117	2,117

Documents for IC

Title	Document	Date Uploaded
2233	2233.01 Faucet form Justification.doc	10/17/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.