Information Collection

WIFIA Letter of Interest

IC 223313 under ICR 202304-2040-003 · OMB 2040-0292.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-33 WIFIA Letter of Interest	Form and Instruction
6100-33 WIFIA Letter of Interest 2040-0292_Exhibit B - WIFIA LOI_ICR.docm www.epa.gov/wifia	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 35.10000 - 35.10080

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	6100-33	WIFIA Letter of Interest	2040-0292_Exhibit B - WIFIA LOI_ICR.docm	http://www.epa.gov/wifia	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	45	-10	55
Annual IC Time Burden (Hours)	2,700	-600	3,300
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.