Information Collection

Data Collection for State NTSIP Coordinators

IC 211096 under ICR 201404-0923-001 · OMB 0923-0050.

Documents and Forms

Document Name Document Type
Data Collection for State NTSIP Coordinators Form
Data Collection for State NTSIP Coordinators AttE_DataCollForm_ScreenShots.pdf Form
AttD_DataCollForm_Word.docx Data Collection for NTSIP State Coordinators-Word IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Data Collection for State NTSIP Coordinators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Data Collection for State NTSIP Coordinators	AttE_DataCollForm_ScreenShots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,278	1,278
Annual IC Time Burden (Hours)	1,278	1,278
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Data Collection for NTSIP State Coordinators-Word	AttD_DataCollForm_Word.docx	04/03/2014

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