Information Collection

State Primacy Agencies

IC 45664 under ICR 201002-2040-001 · OMB 2040-0275.

Documents and Forms

Document Name Document Type
Form 999 State Primacy Agencies Form
999 Contaminant Occurrence Data in Support of EPA's Third Si Six-Year - 3 ICR Instrument Placeholder 12 14 09.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Primacy Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	999	Contaminant Occurrence Data in Support of EPA's Third Six-Year Review of National Primary Drinking Water Regulations; EPA ICR No. 2231.02, OMB Control No. 2040-01	Six-Year - 3 ICR Instrument Placeholder 12 14 09.doc		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19	0	19
Annual IC Time Burden (Hours)	756	75	681
Annual IC Cost Burden (Dollars)	0	0	0

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.