Information Collection

States & Territories

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Other: System Screenshots: CWNS Data Entry Portal & Small POTW Sampling Interviewer's Template					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 %

table that charts list of burden
	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

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.

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