Information Collection

Information Collection Activities Associated with the SmartWay Transport Partnership

IC 197032 under ICR 201801-2060-002 · OMB 2060-0663.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0663 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Information Collection Activities Associated with the SmartWay Transport Partnership	Form
SmartWay Affiliate Agreement affiliate-agreement-06-2014.pdf www.epa.gov/otaq/smartway/forsupporters/index.htm	Form
SmartWay Tractor Equipment Check List SmartWay Equipment Check List Sign-off.pdf www.epa.gov/otaq/smartway/forpartners/documents/verified/equipment-checklist.pdf	Form
420-B11-013 Mark Designation and Signature Page SmartWay T&T Mark Signature Page.pdf www.epa.gov/otaq/smartway/forpartners/documents/get-designated/420-B11-013.pdf	Form and Instruction
Truck Tool trucktool.xls	Form and Instruction
Barge Tool bargetool.xls	Form and Instruction
Rail Tool rail.xls	Form and Instruction
2015 Award SemiFinalist Application 2015 Award SemiFinalist Application.docx	Form and Instruction
Shipper Tool shippertool.xls	Form and Instruction
Logistics Tool logisticstool.xls	Form and Instruction
Multimedia Tool multimodaltool.xlsm	Form and Instruction

IC Title:

Information Collection Activities Associated with the SmartWay Transport Partnership

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	N/A	SmartWay Affiliate Agreement	affiliate-agreement-06-2014.pdf	http://www.epa.gov/otaq/smartway/forsupporters/index.htm	Yes	Yes	Printable Only
Form	N/A	SmartWay Tractor Equipment Check List	SmartWay Equipment Check List Sign-off.pdf	http://www.epa.gov/otaq/smartway/forpartners/documents/verified/equipment-checklist.pdf	Yes	Yes	Printable Only
Form and Instruction	420-B11-013	Mark Designation and Signature Page	SmartWay T&T Mark Signature Page.pdf	http://www.epa.gov/otaq/smartway/forpartners/documents/get-designated/420-B11-013.pdf	Yes	Yes	Printable Only
Form and Instruction	n/a	Truck Tool	trucktool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Barge Tool	bargetool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Rail Tool	rail.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	2015 Award SemiFinalist Application	2015 Award SemiFinalist Application.docx		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Shipper Tool	shippertool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Logistics Tool	logisticstool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Multimedia Tool	multimodaltool.xlsm		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,605

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,605	644	3,961
Annual IC Time Burden (Hours)	13,224	1,720	11,504
Annual IC Cost Burden (Dollars)	1,919	268	1,651

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.