Information Collection

POTW Influent PFAS Study

IC 271509 under ICR 202410-2040-006 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
POTW Influent PFAS Study	Form and Instruction
POTW and NSSS Data Template 2799.01 Data Template POTW & NSSS.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 403 40 CFR 503

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	n/a	POTW and NSSS Data Template	2799.01 Data Template POTW & NSSS.xlsx		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: 200

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	14,600	14,600
Annual IC Cost Burden (Dollars)	3,448,172	3,448,172

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.