C3 Marine Engine Manufacturer Certification & Special Provisions

New Marine Compression-Ignition Engines at or Above 30 Liters per Cylinder (Renewal)

Documents and Forms

Document Name Document Type
Form 590-124 C3 Marine Engine Manufacturer Certification & Special Provisions Form
590-124 Marine CI & IMO Certification Application Application for Certification - Marine CI.pdf www.epa.gov/otaq/certdat2.htm#cert Form
5900-90 Annual Production Report production-annual-report-template-v3-3-1.xlsx www.epa.gov/otaq/certdat2.htm Form

Information Collection (IC) Details

IC Title:	C3 Marine Engine Manufacturer Certification & Special Provisions	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 1065 & 1068 40 CFR 1042, 1043 & 1060 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	590-124	Marine CI & IMO Certification Application	Application for Certification - Marine CI.pdf	http://www.epa.gov/otaq/certdat2.htm#cert	No		Fillable Fileable
Form	5900-90	Annual Production Report	production-annual-report-template-v3-3-1.xlsx	http://www.epa.gov/otaq/certdat2.htm	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: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	673	0	673
Annual IC Cost Burden (Dollars)	35,003	1,168	33,835

Documents for IC

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.