OMB No. 2060-0347
Expiration Date: XX/XX/XXXX
Approved while under OMB review
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq.
(OMB Control No. 2060-0347). Responses to this collection of information are voluntary (Section 103(g) Clean Air
Act). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this
collection of information is estimated to average 6 hours per response (includes the time for entering energy data,
Licensed Professional facility inspection, verifying application contents, and signoff by all required parties). Send
comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any
suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S.
Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the
OMB control number in any correspondence. Do not send the completed form to this address.
| File Type | application/pdf |
| Author | Cho, Esther |
| File Modified | 2021-01-06 |
| File Created | 2019-02-22 |