Private Sector - Application: Recognition of Sustainable Water Systems

Recognition Application for Sustainable Water Leadership Program (Renewal)

Documents and Forms

Document Name Document Type
1287supp10_-_Application_for_Recognition-rev.doc Other-Application

Information Collection (IC) Details

IC Title:	Private Sector - Application: Recognition of Sustainable Water Systems	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR part 105 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			1287supp10_-_Application_for_Recognition-rev.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: 679	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	679	534	145
Annual IC Time Burden (Hours)	13,574	12,414	1,160
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.