WIFIA Letter of Interest

EPA Application Materials for the Water Infrastructure Finance and Innovation Act (WIFIA) (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0292 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-33 WIFIA Letter of Interest Form and Instruction
6100-33 WIFIA Letter of Interest 2040-0292_Exhibit B - WIFIA LOI_ICR.docm www.epa.gov/wifia Form and Instruction

Information Collection (IC) Details

IC Title:	WIFIA Letter of Interest	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	6100-33	WIFIA Letter of Interest	2040-0292_Exhibit B - WIFIA LOI_ICR.docm	http://www.epa.gov/wifia	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 3

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55	35	20
Annual IC Time Burden (Hours)	3,300	2,300	1,000
Annual IC Cost Burden (Dollars)	0	0	0

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.