Information Collection

Data Collection for State NTSIP Coordinators

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.