Information Collection

State and Local Government

IC 194034 under ICR 202505-2060-004 · OMB 2060-0667.

Documents and Forms

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Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 40 CFR Subpart AAAAA 40 CFR Subpart BBBBB 40 CFR Subpart CCCCC 40 CFR Subpart DDDDD 40 CFR Subpart EEEEE 40 CFR Subpart GGGGG (To search for a specific CFR, visit the Code of Federal Regulations.)

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: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4	-2	6
Annual IC Time Burden (Hours)	400	-200	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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