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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.