Information Collection

POTW Screener Questionaire

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

Documents and Forms

Documents and forms in this information collection
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

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	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 %

table that charts list of burden
	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

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.