Information Collection

Part 2 of 2: State and Local Governments

IC 187486 under ICR 200812-2050-004 · OMB 2050-0203.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6200-06 Part 2 of 2: State and Local Governments	Form and Instruction
Preservice_-_SCRIPT_for_ICR_2.doc	Other-Script for Focus Group Discuss
6200-06 Annual Update Annual_Update_06_29_09 Protected.doc	Form and Instruction
6200-05 Initial Survey Initial_Survey_06_29_09 Protected.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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 and Instruction	6200-06	Annual Update	Annual_Update_06_29_09 Protected.doc	Yes	Yes	Fillable Fileable
Form and Instruction	6200-05	Initial Survey	Initial_Survey_06_29_09 Protected.doc	Yes	Yes	Fillable Fileable
Other-Script for Focus Group Discussion			Preservice_-_SCRIPT_for_ICR_2.doc	No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7

Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7	7
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	2	2

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.