Information Collection

Supplemental Information on Water Quality Considerations

IC 190107 under ICR 202609-1140-003 · OMB 1140-0097.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5000.30 Supplemental Information on Water Quality Consideration Supplemental Information on Water Quality Considerations	Form and Instruction
5000.30 Supplemental Information on Water Quality Consideration 1140-0097 water quality F 5400. 30 Draft 508c w wm.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	5000.30				Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 670

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	670	0	-10	680
Annual IC Time Burden (Hours)	201	0	-139	340
Annual IC Cost Burden (Dollars)	30,009	29,707	-4	306

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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