Information Collection

Voluntary Submission

IC 202055 under ICR 201204-2070-002 · OMB 2070-0033.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Voluntary Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 790

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	253	253
Annual IC Cost Burden (Dollars)	60	60

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.