Information Collection

Certification Program Administration (State)

IC 210017 under ICR 201401-2040-001 · OMB 2040-0246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0246 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2067supp05 - Justification for No Instrument.doc	Other-Justification for No CFR or In

IC Title:

Certification Program Administration (State)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Justification for No CFR or Instrument			2067supp05 - Justification for No Instrument.doc		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: 20

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	1,968	1,968
Annual IC Cost Burden (Dollars)	0	0

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.