Information Collection

UIC Program-Private Entities

IC 23584 under ICR 202202-2040-003 · OMB 2040-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7520-6 UIC Program-Private Entities	Form and Instruction
7520-6 UIC Permit Application Permit Application for Owners or Operators.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-7 Application to Transfer Permit Owner or Operator Application to Transfer Permit.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-8 Injection Well Monitoring Report Owner or Operator Injection Well Monitoring Report.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-11 Annual Disposal/Injection Well Monitoring Report Owner or Operator Form for Annular Disposal-injection Well Monitoring Report.pdf www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Form and Instruction
7520-16 Inventory of Injection Wells Owner or Operator Form for Inventory of Injection Wells.pdf	Form and Instruction
7520-17 Pre-Closure Notification Owner or Operator Class V Well Pre-Closure Notification Form.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 145 40 CFR 146 40 CFR 147 40 CFR 148 40 CFR 144

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	7520-6	UIC Permit Application	Permit Application for Owners or Operators.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No		Fillable Printable
Form and Instruction	7520-7	Application to Transfer Permit	Owner or Operator Application to Transfer Permit.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	Yes	No	Fillable Printable
Form and Instruction	7520-8	Injection Well Monitoring Report	Owner or Operator Injection Well Monitoring Report.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No		Fillable Printable
Form and Instruction	7520-11	Annual Disposal/Injection Well Monitoring Report	Owner or Operator Form for Annular Disposal-injection Well Monitoring Report.pdf	www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory	No		Fillable Printable
Form and Instruction	7520-16	Inventory of Injection Wells	Owner or Operator Form for Inventory of Injection Wells.pdf		No		Fillable Printable
Form and Instruction	7520-17	Pre-Closure Notification	Owner or Operator Class V Well Pre-Closure Notification Form.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: 37,618

Number of Respondents for Small Entity: 28,801

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 39 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	465,923	5,319	460,604
Annual IC Time Burden (Hours)	1,400,950	259,656	1,141,294
Annual IC Cost Burden (Dollars)	276,069,465	107,723,907	168,345,558

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.