Information Collection

State and Local Government

IC 255712 under ICR 202407-2050-002 · OMB 2050-0226.

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Information Collection (IC) Details

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IC Title:	State and Local Government	Agency IC Tracking Number:	2725.01

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 68

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,462	Number of Respondents for Small Entity: 630

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,398	6,398
Annual IC Time Burden (Hours)	119,099	119,099
Annual IC Cost Burden (Dollars)	1,249,211	1,249,211

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