Information Collection

EPA's Urban Waters Federal Partnership Program State, Local, and Tribal Governments

IC 271465 under ICR 202410-2040-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-085 EPA's Urban Waters Federal Partnership Program State, Local, and Tribal Governments	Form and Instruction
6100-085 Annual Reporting Form EPA-HQ-OW-2024-0087-0003_content.docx	Form and Instruction
6100-083 Partnership Evaluation Form EPA-HQ-OW-2024-0087-0004_content.docx	Form and Instruction
6100-084 Workplan Form EPA-HQ-OW-2024-0087-0005_content.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-085	Annual Reporting Form	EPA-HQ-OW-2024-0087-0003_content.docx	No		Fillable Fileable Signable
Form and Instruction	6100-083	Partnership Evaluation Form	EPA-HQ-OW-2024-0087-0004_content.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6100-084	Workplan Form	EPA-HQ-OW-2024-0087-0005_content.docx	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: 1,263

Number of Respondents for Small Entity: 600

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	421	421
Annual IC Time Burden (Hours)	3,105	3,105
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.