Information Collection

Private/Investor-Owned Community Water Systems

IC 243297 under ICR 202308-2040-003 · OMB 2040-0302.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-01 Private/Investor-Owned Community Water Systems	Form and Instruction
Form 6100-01 2020 Drinking Water Infrastructure Needs Survey and Assessment Private/Investor-Owned Community Water Systems	Form and Instruction
6100-01 2020 Drinking Water Infrastructure Needs Survey and Asse 6100-01 (Forms & Instructions).docx	Form and Instruction
6100-01 2020 Drinking Water Infrastructure Needs Survey and Asse 6100-01 (Forms & Instructions).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 and Instruction	6100-01			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: 673

Number of Respondents for Small Entity: 541

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	1,146	1,146
Annual IC Cost Burden (Dollars)	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.

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