Information Collection

States & Territories

IC 23592 under ICR 202410-2040-005 · OMB 2040-0050.

Documents and Forms

Document Name Document Type
Appendix B - CWNS Excel Annotation and Needs Calculation Workbook_June 2021.pdf Other-CWNS Excel Annotation and Need
Appendix A -CWNS Data Entry Portal & Small Community Form.pdf Other-System Screenshots
Appendix C - CWNS Small Community Form.pdf Other-Form/Interface Wireframe
0318.14_Appendix A CWNS ICR Package_Updated.pdf Other-Other: System Screenshots: CWN

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	States & Territories	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other: System Screenshots: CWNS Data Entry Portal & Small POTW Sampling Interviewer's Template			0318.14_Appendix A CWNS ICR Package_Updated.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	10,839	2,975	7,864
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.

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