PrivateWells

Generic Clearance for Citizen Science and Crowdsourcing Projects (New)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2080-0083 can be found here:

Documents and Forms

Document Name Document Type
2521ss07 PrivateWells Survey.docx Other-Other
2521ss07 PrivateWells Justification.docx 2521ss07 PrivateWells Justification IC Document

Information Collection (IC) Details

IC Title:	PrivateWells	Agency IC Tracking Number:	2521.07

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-Other			2521ss07 PrivateWells Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2521ss07 PrivateWells Justification	2521ss07 PrivateWells Justification.docx	11/02/2017

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