Information Collection

State and Local Government (Including Schools)

IC 264798 under ICR 202401-2060-006 · OMB 2060-0686.

Documents and Forms

Document Name Document Type
5900-261 CSB Payment Request Form Summary of Changes.pdf Other-Screenshots
5900-261 CSB Payment Request Form Summary of Changes.pdf Other-Screenshots
5900-645 CSB Application Summary of changes Screenshot.pdf Other-Screenshot
5900-645 CSB Application Summary of changes Screenshot.pdf Other-Screenshot
5900-646 CSB Close out form screen shots.pdf Other-Screenshots
5900-646 CSB Close out form screen shots.pdf Other-Screenshots
5900-261 Payment Request Form 5900-261 CSB Payment Request Form User Guide.pdf app.epa.gov/csb Form and Instruction
5900-261 Payment Request Form 5900-261 CSB Payment Request Form User Guide.pdf app.epa.gov/csb Form and Instruction
5900-645 Application Form 5900-645 CSB Application User Guide.pdf app.epa.gov/csb Form and Instruction
5900-645 Application Form 5900-645 CSB Application User Guide.pdf app.epa.gov/csb Form and Instruction
5900-646 Close-out Form 5900-646 CSB Close out Form User Guide pdf.pdf app.epa.gov/csb Form and Instruction
5900-646 Close-out Form 5900-646 CSB Close out Form User Guide pdf.pdf app.epa.gov/csb Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Government (Including Schools)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			5900-261 CSB Payment Request Form Summary of Changes.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-261	Payment Request Form	5900-261 CSB Payment Request Form User Guide.pdf	https://app.epa.gov/csb	Yes	Yes	Fillable Fileable Signable
Other-Screenshot			5900-645 CSB Application Summary of changes Screenshot.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-645	Application Form	5900-645 CSB Application User Guide.pdf	https://app.epa.gov/csb	Yes	Yes	Fillable Fileable Signable
Other-Screenshots			5900-646 CSB Close out form screen shots.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-646	Close-out Form	5900-646 CSB Close out Form User Guide pdf.pdf	https://app.epa.gov/csb	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,080	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,512	5,265	-3,753
Annual IC Time Burden (Hours)	16,368	18,082	-1,714
Annual IC Cost Burden (Dollars)	0	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.