Information Collection

Response to Survey

IC 212529 under ICR 201407-2070-003 · OMB 2070-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0193 can be found here:

Documents and Forms

Document Name Document Type
ICR 2494.01 - Attachment 4.pdf Instruction
ICR 2494.01 - Attachment 5.pdf Instruction
ICR 2494.01 - Attachment 6.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Response to Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	ICR 2494.01 - Attachment 4.pdf	Yes	Yes	Paper Only
Instruction	ICR 2494.01 - Attachment 5.pdf	Yes	Yes	Paper Only
Instruction	ICR 2494.01 - Attachment 6.pdf	Yes	Yes	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,485	Number of Respondents for Small Entity: 8,230

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,485	8,485
Annual IC Time Burden (Hours)	564	564
Annual IC Cost Burden (Dollars)	34,103	34,103

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.