Information Collection

Modification of Other Certifying Agency Plans (Fed. Agencies & Tribes)

IC 258653 under ICR 202608-2070-004 · OMB 2070-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA-PFN-3400-5 Modification Form for Certification Plans Modification of Other Certifying Agency Plans (Fed. Agencies & Tribes)	Form
EPA-PFN-3400-5 Modification Form for Certification Plans 0155.17 Attach A- RUP Appl.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 171

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	EPA-PFN-3400-5				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: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-5	15
Annual IC Time Burden (Hours)	720	-1,259	1,979
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].