Information Collection

Filter Adoption Survey by Denver Water - Customers

IC 242634 under ICR 202309-2008-002 · OMB 2008-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6700-009 Filter Adoption Survey by Denver Water - Customers	Form and Instruction
6700-009 Filter Adoption Survey DWD-FilterUseSurveyFull_Revised.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 141

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	6700-009	Filter Adoption Survey	DWD-FilterUseSurveyFull_Revised.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
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.