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UIC Program-Private Entities
Underground Injection Control (UIC) Program (Renewal)
OMB: 2040-0042
IC ID: 23584
OMB.report
EPA/OW
OMB 2040-0042
ICR 201812-2040-002
IC 23584
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0042 can be found here:
2022-02-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 7520-6
UIC Program-Private Entities
Form and Instruction
7520-6 UIC Permit Application
Permit Application for Owners or Operators.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Form and Instruction
7520-7 Application to Transfer Permit
Owner or Operator Application to Transfer Permit.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Form and Instruction
7520-8 Injection Well Monitoring Report
Owner or Operator Injection Well Monitoring Report.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Form and Instruction
7520-11 Annual Disposal/Injection Well Monitoring Report
Owner or Operator Form for Annular Disposal-injection Well Monitoring Report.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Form and Instruction
7520-16 Inventory of Injection Wells
Owner or Operator Form for Inventory of Injection Wells.pdf
Form and Instruction
7520-17 Pre-Closure Notification
Owner or Operator Class V Well Pre-Closure Notification Form.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
UIC Program-Private Entities
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
40 CFR 145
40 CFR 146
40 CFR 147
40 CFR 148
40 CFR 124
40 CFR 144
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
7520-6
UIC Permit Application
Permit Application for Owners or Operators.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
No
Fillable Printable
Form and Instruction
7520-7
Application to Transfer Permit
Owner or Operator Application to Transfer Permit.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
No
Fillable Printable
Form and Instruction
7520-8
Injection Well Monitoring Report
Owner or Operator Injection Well Monitoring Report.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
No
Fillable Printable
Form and Instruction
7520-11
Annual Disposal/Injection Well Monitoring Report
Owner or Operator Form for Annular Disposal-injection Well Monitoring Report.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
No
Fillable Printable
Form and Instruction
7520-16
Inventory of Injection Wells
Owner or Operator Form for Inventory of Injection Wells.pdf
No
Fillable Printable
Form and Instruction
7520-17
Pre-Closure Notification
Owner or Operator Class V Well Pre-Closure Notification Form.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40,109
Number of Respondents for Small Entity:
29,775
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
460,604
0
-133
-73,082
0
533,819
Annual IC Time Burden (Hours)
1,141,294
0
-10,916
-282,757
0
1,434,967
Annual IC Cost Burden (Dollars)
168,345,558
0
0
-4,820,599
0
173,166,157
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.