Information Collection

Private Sector

IC 217875 under ICR 201508-2070-001 · OMB 2070-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0199 can be found here:

Documents and Forms

Document Name Document Type
2516supp01 Attachment-6_Pilot Collection Instrument_rev2016-06-07.xlsx Other-Pilot Collection Instrument

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Private Sector	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
Other-Pilot Collection Instrument			2516supp01 Attachment-6_Pilot Collection Instrument_rev2016-06-07.xlsx		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: 20	Number of Respondents for Small Entity: 10

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	340	340
Annual IC Cost Burden (Dollars)	0	0

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.