Information Collection

NPEP - Champion Enrollment & Plan Modification

IC 189207 under ICR 200905-2050-002 · OMB 2050-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6200-07 NPEP Champion Enrollment Form NPEP - Champion Enrollment & Plan Modification	Form and Instruction
6200-07 NPEP Champion Enrollment Form 2076supp03 - Champion Form (Rev 2009-09-08).doc www.epa.gov/epawaste/partnerships/npep/index.htm	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	6200-07			http://www.epa.gov/epawaste/partnerships/npep/index.htm	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 423

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	1,029	1,029
Annual IC Cost Burden (Dollars)	31	31

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.

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