Information Collection

Private Sector

IC 23933 under ICR 202603-2050-004 · OMB 2050-0149.

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Information Collection (IC) Details

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IC Title:	Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 124.33 40 CFR 270.62 40 CFR 270.66 40 CFR 124.31 40 CFR 124.32

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: 58	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	49	2	47
Annual IC Time Burden (Hours)	4,853	379	4,474
Annual IC Cost Burden (Dollars)	5,278	415	4,863

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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