Information Collection

Publicly Owned CWSs

IC 243296 under ICR 202308-2040-003 · OMB 2040-0302.

Documents and Forms

Document Name Document Type
Form 6100-01 Publicly Owned CWSs Form and Instruction
6100-01 2020 Drinking Water Infrastructure Needs Survey and Asse 6100-01 (Forms & Instructions).docx dwneeds.epa.gov Form and Instruction
6100-01 2020 Drinking Water Infrastructure Needs Survey and Asse 6100-01 (Forms & Instructions).docx dwneeds.epa.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Publicly Owned CWSs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-01	2020 Drinking Water Infrastructure Needs Survey and Assessment	6100-01 (Forms & Instructions).docx	dwneeds.epa.gov	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: 3,239	Number of Respondents for Small Entity: 2,230

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,080	1,080
Annual IC Time Burden (Hours)	5,839	5,839
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.