Information Collection

Water Technical Assistance Request Form & Needs Assessment

IC 269091 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-078 Water Technical Assistance Request Form & Needs Assessment	Form and Instruction
6100-078 Water TA Request Form & Needs Assessment Form 6100-078, Water TA Request Form & Needs Assessment.docx	Form and Instruction
6100-078 Water TA Request Form & Needs Assessment Form 6100-078, Water TA Request Form & Needs Assessment.docx	Form and Instruction
Justification Water TA IC.docx IC Justification Document	IC Document
Justification Water TA IC.docx IC Justification Document	IC Document

IC Title:

Agency IC Tracking Number:

2434.249

IC Status: New

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	6100-078	Water TA Request Form & Needs Assessment	Form 6100-078, Water TA Request Form & Needs Assessment.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Justification Document	Justification Water TA IC.docx	06/28/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.