Information Collection

2019 254 of Q_EPA_Web_Browse_20190402_DL_December19 (004) (002)

IC 239313 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 254 2019 254 of Q_EPA_Web_Browse_20190402_DL_December19 (004) (002) Form and Instruction
254 Q_EPA_Web_Browse_20190402_DL_December19 (004) (002) 2019 254 of Q_EPA_Web_Browse_20190402_DL_December19 (004) (002).xlsx Form and Instruction
OMB Feedback Survey Mapping File (version 1).xlsb.xlsx OMB Feedback Survey Mapping File (version 1).xlsb IC Document
Signed OMB Clearence Form (EPA) 1_14_20.pdf Signed OMB Clearence Form (EPA) 1_14_20 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2019 254 of Q_EPA_Web_Browse_20190402_DL_December19 (004) (002)	Agency IC Tracking Number:	254

IC Status: New

Obligation to Respond: Voluntary

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	254	Q_EPA_Web_Browse_20190402_DL_December19 (004) (002)	2019 254 of Q_EPA_Web_Browse_20190402_DL_December19 (004) (002).xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Feedback Survey Mapping File (version 1).xlsb	OMB Feedback Survey Mapping File (version 1).xlsb.xlsx	01/16/2020
Signed OMB Clearence Form (EPA) 1_14_20	Signed OMB Clearence Form (EPA) 1_14_20.pdf	01/16/2020

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