Assessment of Waste Left in Place (WLIP) Ordinances

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Assessment of Waste Left in Place (WLIP) Ordinances Form and Instruction
Assessment of the Effectiveness of Municipal Waste Left Attachment C Policy Academy Instrument_WebVersion.docx Form and Instruction
Attachment D List of partners.docx List of Partners - BROWN IC Document
Attachment A Respondent Breakdown.docx Respondent Breakdown IC Document
Attachment E Notification email.docx Notification Email IC Document
Attachment F Reminder email.docx Reminder Email IC Document
SSA ORD-CON.docx Supporting Statement A IC Document
SSB ORD-CON.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Assessment of Waste Left in Place (WLIP) Ordinances	Agency IC Tracking Number:	0920-0879-17AA

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 and Instruction	NA	Assessment of the Effectiveness of Municipal Waste Left in Place Ordinances - Web Version	Attachment C Policy Academy Instrument_WebVersion.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
List of Partners - BROWN	Attachment D List of partners.docx	10/03/2016
Respondent Breakdown	Attachment A Respondent Breakdown.docx	10/03/2016
Notification Email	Attachment E Notification email.docx	10/03/2016
Reminder Email	Attachment F Reminder email.docx	10/03/2016
Supporting Statement A	SSA ORD-CON.docx	10/04/2016
Supporting Statement B	SSB ORD-CON.docx	10/04/2016

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