Information Collection

State Agency Annual Monitoring Report Requirement

IC 179632 under ICR 201706-2070-001 · OMB 2070-0074.

Documents and Forms

Document Name Document Type
1249.10 justification.doc Other-No instrument

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency Annual Monitoring Report Requirement	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
Other-No instrument			1249.10 justification.doc		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	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	3	-1	4
Annual IC Time Burden (Hours)	231	-77	308
Annual IC Cost Burden (Dollars)	0	0	0

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.