Information Collection

POTW Screener Questionaire

IC 229730 under ICR 202107-2040-001 · OMB 2040-0294.

Documents and Forms

Document Name Document Type
Form TBD POTW Screener Questionaire Form and Instruction
TBD National Study of Nutrient Removal and Secondary Technol POTW Screener Questionnaire 20191002-updated.docx Form and Instruction
TBD National Study of Nutrient Removal and Secondary Technol POTW Screener Questionnaire 20191002-updated.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	POTW Screener Questionaire	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 and Instruction	TBD	National Study of Nutrient Removal and Secondary Technologies: POTW Screener Questionnaire	POTW Screener Questionnaire 20191002-updated.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	Number of Respondents for Small Entity: 11,280

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,000	-2,880	14,880
Annual IC Time Burden (Hours)	8,747	-41,008	49,755
Annual IC Cost Burden (Dollars)	8,800	-23,936	32,736

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.