Information Collection

UIC Program - States and Local

IC 182118 under ICR 201012-2040-002 · OMB 2040-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7520-1 UIC Program - States and Local	Form and Instruction
7520-1 Permit Review and Issuance 7520-1.pdf	Form and Instruction
7520-2a Compliance Evaluation 7520-2A.pdf	Form and Instruction
7520-2b Compliance Evaluation - SNC 7520-2B.pdf	Form and Instruction
7520-3 Inspections and MIT 7520-3.pdf	Form and Instruction
7520-4 Quarterly Exception List 7520-4.pdf	Form and Instruction
7520-6 UIC Permit Application 7520-6.pdf	Form and Instruction
7520-8 Injection Well Monitoring Report 7520-8.pdf	Form and Instruction

IC Title:

UIC Program - States and Local

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 144 40 CFR 145 40 CFR 146 40 CFR 147 40 CFR 148 40 CFR 124

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7520-1	Permit Review and Issuance	7520-1.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-2a	Compliance Evaluation	7520-2A.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-2b	Compliance Evaluation - SNC	7520-2B.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-3	Inspections and MIT	7520-3.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-4	Quarterly Exception List	7520-4.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-6	UIC Permit Application	7520-6.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-8	Injection Well Monitoring Report	7520-8.pdf	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

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: 1 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	49,921	24	49,897
Annual IC Time Burden (Hours)	170,904	11,241	159,663
Annual IC Cost Burden (Dollars)	448,922	0	448,922

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.