NCP - Individuals (Community Members)

Consolidated Superfund Information Collection Request (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0179 can be found here:

Documents and Forms

Document Name Document Type
1487.12 Survey.docx Other-Other

Information Collection (IC) Details

IC Title:	NCP - Individuals (Community Members)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 300 40 CFR 300

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			1487.12 Survey.docx		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,025	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
Annual Number of Responses for this IC	12,250	12,250
Annual IC Time Burden (Hours)	25,150	25,150
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.