Supplemental Information on Water Quality Considerations

Forms and Documents

Document Name	Status
Form 5000.30 Supplemental Information on Water Quality Considerations Form and Instruction	Modified
1140-0097 Justification 3-25-2014.docx Supporting Statement A	2015-11-10
33 USC 1341.doc Supplementary Document	2009-07-28

IC Document Collections

IC ID	Document Title	Status
190107	Supplemental Information on Water Quality Considerations Form and Instruction	Modified

ICR Details

OMB Control No: 1140-0097	ICR Reference No: 201511-1140-004
Status: Historical Active	Previous ICR Reference No: 201403-1140-009
Agency/Subagency: DOJ/ATF	Agency Tracking No:
Title: Supplemental Information on Water Quality Considerations
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2016
	Date Received in OIRA: 11/17/2015
Terms of Clearance: Approved for 12 months due to the collection not being fully electronic. See previous terms of clearance. ATF should develop a plan for addressing its signature requirement, which ATF identifies as the barrier to making this collection fully electronic.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2016
Responses	680	0	680
Time Burden (Hours)	340	0	340
Cost Burden (Dollars)	306	0	306

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Abstract: Under USC 33 1341(a), ATF requires respondents to complete ATF F 5000.30, Supplemental Information on Water Quality Considerations. The data is used by ATF to determine whether a certification from a State of multi-state authority is needed for discharge of effluent into navigable waters of the U.S.

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Authorizing Statute(s): US Code: 33 USC 1341 Name of Law: Navigation and Navigable Waters
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 51310	08/24/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 65803	10/27/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Supplemental Information on Water Quality Considerations	5000.30	Supplemental Information on Water Quality Consideration

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	680	680	0	0	0	0
Annual Time Burden (Hours)	340	340	0	0	0	0
Annual Cost Burden (Dollars)	306	306	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/17/2015

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