Information Collection

State/Local Permitees

IC 180159 under ICR 201312-2080-001 · OMB 2080-0021.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA 6400-01 (OMB 2 State/Local Permitees	Form and Instruction
EPA 6400-01 (OMB 2 NPDES Permittee Data Report Form 0234supp11 - DMRQA 34 Study Announcement.pdf	Form and Instruction
EPA 6400-01 (OMB 2 NPDES Permittee Data Report Form 0234supp11 - DMRQA 34 Study Announcement.pdf	Form and Instruction

IC Title:

State/Local Permitees

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:

table that charts list of 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	0234supp11 - DMRQA 34 Study Announcement.pdf		No		Fillable Printable
Form and Instruction	EPA 6400-01 (OMB 2080-0021)	NPDES Permittee Data Report Form	0234supp11 - DMRQA 34 Study Announcement.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: 2,632

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,632	-516	3,148
Annual IC Time Burden (Hours)	17,372	-2,461	19,833
Annual IC Cost Burden (Dollars)	1,135,471	537,351	598,120

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.