Information Collection

Tribal Governments

IC 219494 under ICR 201512-2040-011 · OMB 2040-0290.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Tribal Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 130.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	86,664	86,664
Annual IC Cost Burden (Dollars)	132,000	132,000

Documents for IC

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