Information Collection

Tips and Complaints Regarding Environmental Violations

IC 23523 under ICR 202302-2020-003 · OMB 2020-0032.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5800-082 Tips and Complaints Regarding Environmental Violations	Form
5800-082 Environmental Violations Report RAV ICR Update Mockups_02.07.23.pptx	Form

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	5800-082	Environmental Violations Report	RAV ICR Update Mockups_02.07.23.pptx		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: 19,020

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	19,020	1,848	17,172
Annual IC Time Burden (Hours)	9,510	924	8,586
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.