State Agencies

Performance Evaluation Studies on Wastewater Laboratories (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2080-0021 can be found here:

Documents and Forms

Document Name Document Type
Form EPA 6400-01 (OMB 2 State Agencies Form and Instruction
EPA 6400-01 (OMB 2 NPDES Permittee Data Report Form rptform-print.pdf Form and Instruction
EPA 6400-01 (OMB 2 NPDES Permittee Data Report Form rptform.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	State Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EPA 6400-01 (OMB 2080-0021)	NPDES Permittee Data Report Form	rptform-print.pdf		No	No	Printable Only
Form and Instruction	EPA 6400-01 (OMB 2080-0021)	NPDES Permittee Data Report Form	rptform.pdf		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,148	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,148	-443	0	3,591
Annual IC Time Burden (Hours)	19,833	-2,790	0	22,623
Annual IC Cost Burden (Dollars)	598,120	-73,095	78,700	592,515

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.