Information Collection

Tribal Governments - Treatment as State (TAS) Applications

IC 217855 under ICR 201605-2040-001 · OMB 2040-0289.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2515.02 - Template for WQS TAS Application final_160617a.pdf	Other-Template for WQS TAS Applicati

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 131.4(c) 40 CFR 131.8 40 CFR 123.31-34 40 CFR 223.60-62

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template for WQS TAS Application			2515.02 - Template for WQS TAS Application final_160617a.pdf		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	9,642	9,642
Annual IC Cost Burden (Dollars)	263,520	263,520

Documents for IC

table that charts IC Documents
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.