6100-057 General Permit and Program Report Inventory Update

Attachment 2 – NPDES General Permit and Program Report Inventory Update Form

	NPDES GENERAL PERMIT AND PROGRAM REPORT INVENTORY UPDATE FORM EPA FORM 6100-057 FORM OMB APPROVED 2020-0037 EXP. MM/YYYY	FOR EPA USE ONLY
		[Date Received]

NPDES General Permit Inventory Update

NPDES General Permit ID	(Note: This is the unique identifier for the NPDES general permit, not the NPDES ID of the one or more general permit covered facilities.)
State	(Note: This is the state where the NPDES general permit provides permit coverage.)
NPDES General Permit Name
Link to NPDES General Permit (URL)	(if available)
Link to Electronic Reporting Tool (URL)	(if available)
Electronic Reporting Tool Initial Deployment Date	(if available)
General Permit Issued Date
General Permit Effective Date
General Permit Expired Date
Estimate Number of General Permit Covered Facilities
EPA Issued General Permit	(Yes/No)
General Permit will use EPA’s NPDES Electronic Reporting Tool (or “NeT”)	(Yes/No)
General Permit Requires DMR Submissions	(Yes/No)
General Permit Requires Program Report	(Yes/No) (Note: The list of program reports is found in Table 1, Appendix A to 40 CFR part 127.)
Industrial Category	(Note: Use the categories provided on the NPDES eRule Phase 2 Implementation Dashboard. See: https://edap.epa.gov/public/extensions/eRule_Phase2/eRule_Phase2.html)
General Permit Requires NOI Submission	(Yes/No)
Timing of General Permit NOI Submissions	(NOI Submissions Mostly Made Upon General Permit Renewal, NOI Submissions Made Throughout General Permit Term, Not Applicable)
General Permit Will Be Renewed	(Yes/No) (Note: This is an indication from the authorized NPDES program regarding their plans to re-issue this general permit.)

(Attach additional pages if needed)

NPDES Program Report Inventory Update

State	(Note: This is the state of the NPDES program report filers.)
Program Report Type	(Note: The list of program reports is found in Table 1, Appendix A to 40 CFR part 127.)
Link to Electronic Reporting Tool (URL)	(if available)
Electronic Reporting Tool Initial Deployment Date	(if available)
Estimate Number of Program Report Filers
EPA Issued Program Report	(Yes/No)
Program Report will use EPA’s NPDES Electronic Reporting Tool (or “NeT”)	(Yes/No)

(Attach additional pages if needed)

HOW TO SUBMIT: Please report this information electronically using the instructions at: https://www.epa.gov/compliance/npdes-ereporting

OMB Burden Statement: This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2020-NEW). Responses to this collection of information are mandatory (40 CFR 127). 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 range from one to four hours per response. Send comments on the Agency’s need this formation, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden including through the use of automated collection techniques to the Director, Regulatory Support Division, 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.

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