Information Collection

Private/Investor-Owned Community Water Systems

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

Documents and Forms

Document Name Document Type
Form 6100-01 Private/Investor-Owned Community Water Systems 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:	Private/Investor-Owned Community Water Systems	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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: 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 %

	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

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.