Information Collection

Private/Investor Owned CWSs

IC 45409 under ICR 201012-2040-001 · OMB 2040-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0274 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-01 Private/Investor Owned CWSs Form and Instruction
6100-01 2011 Drinking Water Infrastructure Needs Survey and Asse 2234ss03.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Private/Investor Owned CWSs	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 and Instruction	6100-01	2011 Drinking Water Infrastructure Needs Survey and Assessment	2234ss03.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 278	Number of Respondents for Small Entity: 173

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 13 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	93	93
Annual IC Time Burden (Hours)	765	765
Annual IC Cost Burden (Dollars)	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.