Information Collection

UIC Program - States and Local Governments

IC 182118 under ICR 202202-2040-003 · OMB 2040-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7520-1 UIC Program - States and Local Governments	Form and Instruction
7520-1 Permit Review and Issuance Permit Review and Issuance.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-2a Compliance Evaluation Compliance Evaulation.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-2b Compliance Evaluation-SNC Compliance Evaluation Part II.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-3 Inspections and MIT Inspections Mechanical Integrity Testing.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-4 Quarterly Exception List Quarterly Expectations List.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 144 40 CFR 145 40 CFR 146 40 CFR 147 40 CFR 148

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Electronic Capability
Form and Instruction	7520-1	Permit Review and Issuance	Permit Review and Issuance.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No	Fillable Printable
Form and Instruction	7520-2a	Compliance Evaluation	Compliance Evaulation.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No	Fillable Printable
Form and Instruction	7520-2b	Compliance Evaluation-SNC	Compliance Evaluation Part II.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No	Fillable Printable
Form and Instruction	7520-3	Inspections and MIT	Inspections Mechanical Integrity Testing.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No	Fillable Printable
Form and Instruction	7520-4	Quarterly Exception List	Quarterly Expectations List.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	112,190	16	15,409	96,765
Annual IC Time Burden (Hours)	230,410	3,334	76,110	150,966
Annual IC Cost Burden (Dollars)	0	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.