Information Collection

Drinking Water Primacy Agencies

IC 259380 under ICR 202303-2040-004 · OMB 2040-0307.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0307 can be found here:

Documents and Forms

Document Name Document Type
Form PH-SDWIS-022023 Drinking Water Primacy Agencies Form
PH-SDWIS-022023 Safe Drinking Water Information System (SDWIS) SDWIS Screenshot.png sdwis.epa.gov/ords/sfdw_pub/f?p=108:200 Form
PH-SDWIS-022023 Safe Drinking Water Information System (SDWIS) SDWIS Screenshot.png sdwis.epa.gov/ords/sfdw_pub/f?p=108:200 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Drinking Water Primacy Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 300j-9 40 CFR 300j-4(a) 40 CFR 300g-2(c) 40 CFR 300g-2(a)(1) 40 CFR 300g-2(b)(2 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PH-SDWIS-022023	Safe Drinking Water Information System (SDWIS)	SDWIS Screenshot.png	https://sdwis.epa.gov/ords/sfdw_pub/f?p=108:200	Yes	Yes	Fillable Fileable

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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	255,675	255,675
Annual IC Time Burden (Hours)	274,000	274,000
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.