Information Collection

Small Systems Survey

IC 229285 under ICR 201711-2010-001 · OMB 2010-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2010-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2434ss61 Small Systems Survey.docx	Other-null
2434ss61 Small Systems Justification.docx Small Systems Justification	IC Document

IC Title:

Small Systems Survey

Agency IC Tracking Number:

2434.80

IC Status: New

Obligation to Respond: Voluntary

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
Other-null			2434ss61 Small Systems Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Small Systems Justification	2434ss61 Small Systems Justification.docx	11/30/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.