Information Collection

Leadership Award

IC 223355 under ICR 202405-2070-003 · OMB 2070-0200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9600-054 Leadership Award	Form and Instruction
9600-054 SIPM Awards Program Application 2531.03 Attachment F-Form 9600-054 -SIPM Awards Program Application Guide & Forms.pdf	Form and Instruction
9600-054 SIPM Awards Program Application 2531.03 Attachment F-Form 9600-054 -SIPM Awards Program Application Guide & Forms.pdf	Form and Instruction

IC Title:

Leadership Award

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	9600-054	SIPM Awards Program Application	2531.03 Attachment F-Form 9600-054 -SIPM Awards Program Application Guide & Forms.pdf		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	0	10
Annual IC Time Burden (Hours)	375	13	362
Annual IC Cost Burden (Dollars)	0	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.