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 6100-06 Partnership Agreement Promotional Partner Form and Instruction Modified Available
Form 6100-09 Annual Reporting Form Promotional Form and Instruction Modified Available
Form 6100-17 Awards Application Promotional Partner Form and Instruction Modified Available
Form 6100-XX7 Retailer Location Form Form and Instruction Modified Available
Form 6100-XX6 Draft Provider Quarterly Reporting Form Form and Instruction Modified Available
Form 6100-17 Awards Application Retailer Form and Instruction Modified Available
Form 6100-17 Awards Application Manufacturer Form and Instruction Modified Available
Form 6100-17 Awards Application Promotional Partner Form and Instruction Modified Available
Form 6100-XX5 Annual Reporting Form Licensed Certifying Body Form and Instruction Modified Available
Form 6100-XX3 Annual Reporting Form Professional Certifying Organization Form and Instruction Modified Available
Form 6100-XX2 Annual Reporting Form Builder Form and Instruction Modified Available
Form 6100-09 Annual Reporiting Form Retailer Form and Instruction Modified Available
Form 6100-09 Annual Reporting Form Promotional Partner Form and Instruction Modified Available
Form 6100-15 New Certified Product Faucet Form and Instruction Modified Available
Form 6100-11 New Certified Product Toilet Form and Instruction Modified Available
Form 6100-18 New Certified Product Urinal Form and Instruction Modified Available
Form 6100-20 Partnership Agreement Certification Provider Form and Instruction Modified Available
Form 6100-XX1 Partnership Agreement Builder Form and Instruction Modified Available
Form 6100-13 Partnership Agreement Manufacturer Form and Instruction Modified Available
Form 6100-12 Partnership Agreement Retailer Distributer Form and Instruction Modified Available
Form 6100-06 Partnership Agreement Promotional Partner Form and Instruction Modified Available
Form 6100-09 Annual Reporting Form Manufacturer Form and Instruction Modified Available
Form 6100-XX4 Annual Reporting Form Irrigation Partner Form and Instruction Modified Available
Form 6100-07 Partnership Agreement Certified Professional Form and Instruction Modified Available
Form 6100-17 Awards Application Irrigation Partner 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 ModifiedPartnership Agreement Promotional Partner
46016 Water Efficiency Collection - State/Local Governments Form and Instruction ModifiedAnnual Reporting Form Promotional
46016 Water Efficiency Collection - State/Local Governments Form and Instruction ModifiedAwards Application Promotional Partner
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedRetailer Location Form
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedDraft Provider Quarterly Reporting Form
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAwards Application Retailer
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAwards Application Manufacturer
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAwards Application Promotional Partner
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporting Form Licensed Certifying Body
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporting Form Professional Certifying Organization
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporting Form Builder
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporiting Form Retailer
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporting Form Promotional Partner
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedNew Certified Product Faucet
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedNew Certified Product Toilet
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedNew Certified Product Urinal
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedPartnership Agreement Certification Provider
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedPartnership Agreement Builder
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedPartnership Agreement Manufacturer
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedPartnership Agreement Retailer Distributer
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedPartnership Agreement Promotional Partner
46015 Water Efficiency Collection - Private Sector Form and Instruction ModifiedAnnual Reporting Form Manufacturer
46014 Water Efficiency Collection - Individuals Form and Instruction ModifiedAnnual Reporting Form Irrigation Partner
46014 Water Efficiency Collection - Individuals Other-Draft Telephone Survey Modified
46014 Water Efficiency Collection - Individuals Form and Instruction ModifiedPartnership Agreement Certified Professional
46014 Water Efficiency Collection - Individuals Form and Instruction ModifiedAwards Application Irrigation Partner

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





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Water Efficiency Collection - Individuals 6100-17, 6100-07, 6100-XX4 ,   ,  
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 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Water Efficiency Collection - State/Local Governments 6100-17, 6100-09, 6100-06 ,   ,  

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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