Information Collection Activities Associated with the SmartWay Transport Partnership

SmartWay Transport Partnership (Renewal)

Documents and Forms

Document Name Document Type
Form 5900-491 Information Collection Activities Associated with the SmartWay Transport Partnership Form and Instruction
5900-488 Excellence Award Application 5900-488 EX_3_ExcellenceAwardApp.pdf Form
Mark Signature Pag 5900-489 5900-489 EX_5_SigPageEquipChecklist.pdf www.epa.gov/otaq/smartway/forpartners/documents/get-designated/420-B11-013.pdf Form
5900-490 Affiliate Agreement 5900-490 EX_4_AffiliateAgreement.pdf www.epa.gov/otaq/smartway/forsupporters/index.htm Form
5900-491 Designated License Agreement 5900-491 EX_6_DesignatedLicenseAgreement__2021-01-12.pdf www.epa.gov/otaq/smartway/forsupporters/index.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Information Collection Activities Associated with the SmartWay Transport Partnership	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5900-488	Excellence Award Application	5900-488 EX_3_ExcellenceAwardApp.pdf		Yes	No	Fillable Printable
Form	Mark Signature Page Equipment Checklist	5900-489	5900-489 EX_5_SigPageEquipChecklist.pdf	http://www.epa.gov/otaq/smartway/forpartners/documents/get-designated/420-B11-013.pdf	Yes	No	Fillable Printable
Form	5900-490	Affiliate Agreement	5900-490 EX_4_AffiliateAgreement.pdf	http://www.epa.gov/otaq/smartway/forsupporters/index.htm	Yes	No	Fillable Printable
Form and Instruction	5900-491	Designated License Agreement	5900-491 EX_6_DesignatedLicenseAgreement__2021-01-12.pdf	http://www.epa.gov/otaq/smartway/forsupporters/index.htm	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,925	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 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,997	-22	414	4,605
Annual IC Time Burden (Hours)	12,830	-1,127	733	13,224
Annual IC Cost Burden (Dollars)	0	0	-1,919	1,919

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.