Information Collection

Water Efficiency Collection - Individuals

IC 46014 under ICR 202106-2040-003 · OMB 2040-0272.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-07 Water Efficiency Collection - Individuals	Form and Instruction
Attachment 17_Awards Statement_Irrigation Partner.pdf	Instruction
Attachment 17_Awards Statement_Irrigation Partner.pdf	Instruction
Attachment 31_Consumer Awareness Telephone Survey.pdf	Other-Consumer Awareness Telephone S
Attachment 31_Consumer Awareness Telephone Survey.pdf	Other-Consumer Awareness Telephone S
6100-07 Partnership Agreement Certified Professional Attachment 2_Partnership Agreement_Irrigation Partner.pdf www.epa.gov/watersense/docs/ws_partnership_certpros_508_2-1-13.pdf	Form and Instruction
6100-07 Partnership Agreement Certified Professional Attachment 2_Partnership Agreement_Irrigation Partner.pdf www.epa.gov/watersense/docs/ws_partnership_certpros_508_2-1-13.pdf	Form and Instruction
6100-17 Awards Application Form - Irrigation Attachment 24_Awards Form_Irrigation Partner.pdf	Form and Instruction
6100-17 Awards Application Form - Irrigation Attachment 24_Awards Form_Irrigation Partner.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	6100-07	Partnership Agreement Certified Professional	Attachment 2_Partnership Agreement_Irrigation Partner.pdf	http://www.epa.gov/watersense/docs/ws_partnership_certpros_508_2-1-13.pdf	Yes	Yes	Fillable Printable
Form and Instruction	6100-17	Awards Application Form - Irrigation	Attachment 24_Awards Form_Irrigation Partner.pdf		Yes	Yes	Fillable Fileable
Instruction			Attachment 17_Awards Statement_Irrigation Partner.pdf		Yes	No	Printable Only
Other-Consumer Awareness Telephone Survey Script			Attachment 31_Consumer Awareness Telephone Survey.pdf		No	No	Paper Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 795

Number of Respondents for Small Entity: 795

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	265	265
Annual IC Time Burden (Hours)	964	964
Annual IC Cost Burden (Dollars)	271	271

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.