Information Collection Request

EPA's WaterSense Program (Renewal)

ICR 201001-2040-002 · OMB 2040-0272 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 6100-17 Water Efficiency Collection - State/Local Governments Form and Instruction Modified Available
Form 6100-09 Water Efficiency Collection - Private Sector Form and Instruction Modified Available
Form 6100-17 Water Efficiency Collection - Individuals Form and Instruction Modified Available
2233ss04b.pdf Supporting Statement B Uploaded 2009-12-14 Available
2233ss04.doc Supporting Statement A Uploaded 2009-12-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
46016 Water Efficiency Collection - State/Local Governments Form and Instruction Modified
46015 Water Efficiency Collection - Private Sector Form and Instruction Modified
46014 Water Efficiency Collection - Individuals Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2013 36 Months From Approved 06/30/2010
2,344 0 5,641
21,251 0 50,081
1,793,181 0 125,403





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table that charts list of burden
IC Title Form No. Form Name
Water Efficiency Collection - Individuals 6100-17, 6100-07, 6100-XX4 Awards Application Irrigation Partner ,   Partnership Agreement Certified Professional ,   Annual Reporting Form Irrigation Partner
Water Efficiency Collection - Private Sector 6100-06, 6100-12, 6100-13, 6100-XX1, 6100-20, 6100-18, 6100-11, 6100-15, 6100-09, 6100-09, 6100-09, 6100-XX2, 6100-XX3, 6100-XX5, 6100-17, 6100-17, 6100-17, 6100-XX6, 6100-XX7 Annual Reporting Form Manufacturer ,   Annual Reporiting Form Retailer ,   Annual Reporting Form Builder ,   Annual Reporting Form Professional Certifying Organization ,   Annual Reporting Form Licensed Certifying Body ,   Awards Application Promotional Partner ,   Awards Application Manufacturer ,   Awards Application Retailer ,   Partnership Agreement Promotional Partner ,   Partnership Agreement Retailer Distributer ,   Partnership Agreement Manufacturer ,   Partnership Agreement Builder ,   Partnership Agreement Certification Provider ,   New Certified Product Urinal ,   New Certified Product Toilet ,   New Certified Product Faucet ,   Annual Reporting Form Promotional Partner ,   Draft Provider Quarterly Reporting Form ,   Retailer Location Form
Water Efficiency Collection - State/Local Governments 6100-17, 6100-09, 6100-06 Awards Application Promotional Partner ,   Annual Reporting Form Promotional ,   Partnership Agreement Promotional Partner

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,344 5,641 0 1,035 -4,332 0
Annual Time Burden (Hours) 21,251 50,081 0 7,303 -36,133 0
Annual Cost Burden (Dollars) 1,793,181 125,403 0 1,667,778 0 0


Reginfo record details
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