Information Collection

EPA's National Fish Program

IC 23717 under ICR 202202-2040-002 · OMB 2040-0226.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ICR_Appendix B_Information_request_letter_11.2021.docx	Instruction
6100-068 Fish Advisory Template ICR_Appendix B_Table 1_Fish Advisory Template_12.2021.docx	Form
6100-069 Fish Tissue Template ICR_Appendix B_Table 2_Fish Tissue Data Template_12.2021.docx	Form
6100-070 National Fish Program Evaluation ICR_Appendix A_ National Fish Program Evaluation_REV2_12.2021docx.docx	Form

IC Title:

Agency IC Tracking Number:

1959.06

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 130

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ICR_Appendix B_Information_request_letter_11.2021.docx	Yes	Yes	Printable Only
Form	6100-068	Fish Advisory Template	ICR_Appendix B_Table 1_Fish Advisory Template_12.2021.docx	Yes	Yes	Fillable Fileable
Form	6100-069	Fish Tissue Template	ICR_Appendix B_Table 2_Fish Tissue Data Template_12.2021.docx	Yes	Yes	Fillable Fileable
Form	6100-070	National Fish Program Evaluation	ICR_Appendix A_ National Fish Program Evaluation_REV2_12.2021docx.docx	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 103

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	103	3	100
Annual IC Time Burden (Hours)	1,185	607	578
Annual IC Cost Burden (Dollars)	0	0	0

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.