Information Collection

Private Sector Permittees

IC 41809 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⚠️ Notice: This information collection may be referencing outdated material.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 Private Sector Permittees	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:

Private Sector Permittees

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: 2,964

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	2,964	87	2,877
Annual IC Time Burden (Hours)	19,562	573	18,989
Annual IC Cost Burden (Dollars)	1,660,907	419,740	1,241,167

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.