Information Collection

WIFIA Application

IC 223315 under ICR 201609-2040-001 · OMB 2040-0292.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0292 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2549supp01 - ExhibitC-Draft WIFIA Application12.7.16-clean.docx www.epa.gov/wifia	Other-Application

IC Title:

WIFIA Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-Application			2549supp01 - ExhibitC-Draft WIFIA Application12.7.16-clean.docx	http://www.epa.gov/wifia	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: 5

Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	3,005,000	3,005,000

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.