Information Collection

State/Local Permitees

IC 180159 under ICR 201611-2080-001 · OMB 2080-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2080-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6400-01 State/Local Permitees	Form and Instruction
6400-01 NPDES Permittee Data Report Form 0234.12 EPA Form 6400-01 (DMR-QA Study 36) 2.15.17.pdf www.epa.gov/sites/production/files/2015-02/documents/package35.pdf	Form and Instruction

IC Title:

State/Local Permitees

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Form and Instruction	6400-01	NPDES Permittee Data Report Form	0234.12 EPA Form 6400-01 (DMR-QA Study 36) 2.15.17.pdf	https://www.epa.gov/sites/production/files/2015-02/documents/package35.pdf	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,736

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	2,736	104	2,632
Annual IC Time Burden (Hours)	18,058	686	17,372
Annual IC Cost Burden (Dollars)	1,533,145	397,674	1,135,471

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.