Information Collection

Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction

IC 246219 under ICR 202012-2010-001 · OMB 2010-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5800-042 Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	Form
5800-042 EPA's Small Drinking Water Systems Webinar Series Survey 2434ss61 Small Systems Justification-Renewal.pdf	Form
5800-042 EPA's Small Drinking Water Systems Webinar Series Survey 2434ss61 Small Systems Justification-Renewal.pdf	Form
2434ss61 Small Systems Justification-Renewal.pdf Justification	IC Document
2434ss61 Small Systems Justification-Renewal.pdf Justification	IC Document

IC Title:

Agency IC Tracking Number:

2434.136

IC Status: New

Obligation to Respond: Voluntary

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	5800-042	EPA's Small Drinking Water Systems Webinar Series Survey	2434ss61 Small Systems Justification-Renewal.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	2434ss61 Small Systems Justification-Renewal.pdf	03/12/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.