Information Collection

Water Efficiency Collection - Individuals

IC 46014 under ICR 201001-2040-002 · OMB 2040-0272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0272 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-17 Water Efficiency Collection - Individuals	Form and Instruction
Attachment 22 Consumer Awareness Telephone Survey.pdf	Other-Draft Telephone Survey
6100-17 Awards Application Irrigation Partner Attachment 20 awards_irrigation.pdf epa.gov/watersense/docs/awards_irrigation508.pdf	Form and Instruction
6100-07 Partnership Agreement Certified Professional Attachment 6 irrigation partner PA.pdf www.epa.gov/watersense/docs/partnership_certprofessionals508.pdf	Form and Instruction
6100-XX4 Annual Reporting Form Irrigation Partner Attachment 15 Irrigation_PartnerReporting.pdf	Form and Instruction

IC Title:

Water Efficiency Collection - Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	6100-17	Awards Application Irrigation Partner	Attachment 20 awards_irrigation.pdf	http://epa.gov/watersense/docs/awards_irrigation508.pdf	Yes	Yes	Fillable Printable
Form and Instruction	6100-07	Partnership Agreement Certified Professional	Attachment 6 irrigation partner PA.pdf	http://www.epa.gov/watersense/docs/partnership_certprofessionals508.pdf	Yes	Yes	Fillable Printable
Other-Draft Telephone Survey			Attachment 22 Consumer Awareness Telephone Survey.pdf		No	No	Printable Only
Form and Instruction	6100-XX4	Annual Reporting Form Irrigation Partner	Attachment 15 Irrigation_PartnerReporting.pdf		Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 668

Number of Respondents for Small Entity: 668

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	668	0	-4,332	5,000
Annual IC Time Burden (Hours)	4,350	0	-35,650	40,000
Annual IC Cost Burden (Dollars)	6,171	6,171	0	0

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.