Information Collection

3 of 3: State, Local, and Tribal Governments

IC 184204 under ICR 200803-2030-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6600-04 3 of 3: State, Local, and Tribal Governments	Form
6600-04 Follow up Questionnaire: Prospective Follow-Up Questionnaire Prospective 03 6 08.doc	Form
6600-02 Follow-up Questionnaire: Retrospective Follow-Up Questionnaire Retrospective 03 6 08.doc	Form
6600-03 Post-Training Questionnaire Post Training Questionnaire 03 6 08.doc	Form
6600-05 Assistance Agreement Recipient Reporting Form Assistance_Agreement_Recipient_Reporting_Form_-_3-6-08.xls	Form and Instruction

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6600-04	Follow up Questionnaire: Prospective	Follow-Up Questionnaire Prospective 03 6 08.doc	Yes	Yes	Fillable Printable
Form	6600-02	Follow-up Questionnaire: Retrospective	Follow-Up Questionnaire Retrospective 03 6 08.doc	Yes	Yes	Fillable Printable
Form	6600-03	Post-Training Questionnaire	Post Training Questionnaire 03 6 08.doc	Yes	Yes	Fillable Printable
Form and Instruction	6600-05	Assistance Agreement Recipient Reporting Form	Assistance_Agreement_Recipient_Reporting_Form_-_3-6-08.xls	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: 24,240

Number of Respondents for Small Entity: 12,120

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	25,200	0	0	0	0	0
Annual IC Time Burden (Hours)	4,008	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.