State Primacy Agencies

Disinfectants/Disinfection Byproducts, Chemical and Radionuclides (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0204 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	State Primacy Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 141.134-141.135 40 CFR 141.23(d)-141.24 40 CFR 141.23A(a)-(b) 40 CFR 141.31(a)-(c) and (e) 40 CFR 141.130-141.132 40 CFR 141.33(a)-(d) 40 CFR 141.42-141.43 40 CFR 141.80-141.91 40 CFR 142.14(d)(12)(i)-(iv) 40 CFR 142.16(e) 40 CFR 142.16(h) 40 CFR 142.14(d)(2)-(7) 40 CFR 142.16(k)(1) 40 CFR 142.16(l)(1) and (2) 40 CFR 141 40 CFR 141 40 CFR 142 40 CFR 142 40 CFR 141.111 40 CFR 141.26 40 CFR 142.14(d)(13)-(16)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	963,634	-9,258	972,892
Annual IC Time Burden (Hours)	1,970,776	-11,676	1,982,452
Annual IC Cost Burden (Dollars)	5,000	-1,000	6,000

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.