Information Collection

EEPS Incentive Data Collection

IC 278241 under ICR 202510-2060-001 · OMB 2060-0528.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PFN-3400-3 Incentive Manager Questionnaire EEPS Incentive Data Collection	Form and Instruction
PFN-3400-3 Incentive Manager Questionnaire PFN-3400-3 Incentive Management Form.xlsm	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PFN-3400-3				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: 83

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	83	83
Annual IC Time Burden (Hours)	347	347
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.

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