Information Collection

C3 Marine Engine Manufacturer Certification & Special Provisions

IC 190485 under ICR 201611-2060-016 · OMB 2060-0641.

Documents and Forms

Documents and forms in this information collection
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

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 1065 & 1068 40 CFR 1042, 1043 & 1060 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.