Drinking Water Treatment Plants

Questionnaire For Drinking Water Utilities Participating In Emerging Contaminant Sampling Program (New)

Documents and Forms

Document Name Document Type
2346supp01 - Questionnaire.doc Other-Survey
2346supp01 - Telephone Survey.doc Other-Survey
2346supp01_-_Questionnaire post OMB review.doc Other-Survey

Information Collection (IC) Details

IC Title:	Drinking Water Treatment Plants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	2346supp01 - Questionnaire.doc	Yes	Yes	Fillable Fileable
Other-Survey	2346supp01 - Telephone Survey.doc	Yes	Yes	Fillable Fileable
Other-Survey	2346supp01_-_Questionnaire post OMB review.doc	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	1,025	1,025
Annual IC Cost Burden (Dollars)	250	250

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.