Information Collection

State/Local Permitees

IC 180159 under ICR 202305-2080-002 · OMB 2080-0021.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6400-01 State/Local Permitees	Form and Instruction
6400-01 NPDES Permittee Data Report Form DMR-QA_Study-43_rev-x (signature removed).docx	Form and Instruction
6400-01 NPDES Permittee Data Report Form DMR-QA_Study-43_rev-x (signature removed).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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 and Instruction	6400-01	NPDES Permittee Data Report Form	DMR-QA_Study-43_rev-x (signature removed).docx		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,640

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,640	0	2,640
Annual IC Time Burden (Hours)	17,424	0	17,424
Annual IC Cost Burden (Dollars)	1,815,106	194,727	1,620,379

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.