Information Collection

Clean Watersheds Needs Survey - State Facilities

IC 23592 under ICR 202109-2040-001 · OMB 2040-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0050 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - CWNS DEP Screenshots and Small Community Form_June 2021.pdf cwnsdep.epa.gov/ Other-Data Entry Portal Screenshots
Appendix A - CWNS DEP Screenshots and Small Community Form_June 2021.pdf cwnsdep.epa.gov/ Other-Data Entry Portal Screenshots
Appendix B - CWNS Excel Annotation and Needs Calculation Workbook_June 2021.pdf Other-CWNS Excel Annotation and Need
Appendix B - CWNS Excel Annotation and Needs Calculation Workbook_June 2021.pdf Other-CWNS Excel Annotation and Need
Appendix C - CWNS Small Community Form.pdf Other-Small Form Community Wireframe
Appendix C - CWNS Small Community Form.pdf Other-Small Form Community Wireframe

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Clean Watersheds Needs Survey - State Facilities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Entry Portal Screenshots & Wireframes	Appendix A - CWNS DEP Screenshots and Small Community Form_June 2021.pdf	https://cwnsdep.epa.gov/	Yes	Yes	Fillable Fileable Signable
Other-CWNS Excel Annotation and Needs Calculation Workbook	Appendix B - CWNS Excel Annotation and Needs Calculation Workbook_June 2021.pdf		Yes	Yes	Fillable Fileable Signable
Other-Small Form Community Wireframes	Appendix C - CWNS Small Community Form.pdf		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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	7,864	7,864
Annual IC Cost Burden (Dollars)	0	0

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.