Information Collection

Supplemental Information on Water Quality Considerations

IC 190107 under ICR 202005-1140-001 · OMB 1140-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1140-0097 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5000.30 Supplemental Information on Water Quality Considerations	Form and Instruction
5000.30 Supplemental Information on Water Quality Consideration F 5000. 30 (March 2012) with watermark.pdf	Form and Instruction

IC Title:

Supplemental Information on Water Quality Considerations

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5000.30	Supplemental Information on Water Quality Consideration	F 5000. 30 (March 2012) with watermark.pdf		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 680

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	680	680
Annual IC Time Burden (Hours)	340	340
Annual IC Cost Burden (Dollars)	306	306

Documents for IC

table that charts IC Documents
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.