Filter Adoption Survey (Renewal)

Forms and Documents

Document	Type	Status	Availability
Form 6700-009 Filter Adoption Survey by Denver Water - Customers	Form and Instruction	Modified	Repair queued
2615ssa02.docx	Supporting Statement A	Uploaded 2023-09-29	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
242635	Filter Adoption Survey by Denver Water - Denver Water		Modified
242634	Filter Adoption Survey by Denver Water - Customers	Form and Instruction	Modified

ICR Details

OMB Control No: 2008-0003	ICR Reference No: 202309-2008-002
Status: Received in OIRA	Previous ICR Reference No: 202007-2008-001
Agency/Subagency: EPA/RODENVER	Agency Tracking No: 2615.02
Title: Filter Adoption Survey (Renewal)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/29/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2023
Responses	2,001	2,001
Time Burden (Hours)	659	1,270
Cost Burden (Dollars)	1,000	1,000

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Abstract: The U.S. EPA granted Denver Water a SDWA 1415(a)(3) variance from the definition of optimal corrosion control treatment in 40 CFR 141.2. Under the Variance, Denver Water must conduct a survey in 2023 and every other program year of randomly selected customers enrolled in the filter program to receive a minimum of responses from remaining program participants that is consistent with a 95% confidence level and 3% margin of error. The survey must inquire whether the customer has used the filter for: water to make infant formula (if applicable); cooking and drinking; or is using bottled water or a filter device that is certified NSF/ANSI (53) for lead removal but was not provided by Denver Water for infant formula, cooking and drinking. Surveys can be conducted in writing by mail or verbally using the same survey questions so long as responses are documented.

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Authorizing Statute(s): US Code: 42 USC 300f. Name of Law: Safe Drinking Water Act (SDWA)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10325	02/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 66841	09/28/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Filter Adoption Survey by Denver Water - Customers	6700-009	Filter Adoption Survey
Filter Adoption Survey by Denver Water - Denver Water

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,001	2,001	0	0	0	0
Annual Time Burden (Hours)	659	1,270	0	0	-611	0
Annual Cost Burden (Dollars)	1,000	1,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Survey response times have remained static. However, under the new variance, the survey is now being conducted biannually instead of every year. Furthermore, the period covered by this ICR will have only one reporting year (2025). This reduction in survey frequency results in decreased burden.

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Annual Cost to Federal Government: $864

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/29/2023

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