Information Collection

EPA Strategic Plan Information on Source Water Protection

IC 23672 under ICR 202609-2040-003 · OMB 2040-0197.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

EPA Strategic Plan Information on Source Water Protection

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 144.86

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

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	51	0	51
Annual IC Time Burden (Hours)	102	-186	288
Annual IC Cost Burden (Dollars)	0	-17,074	17,074

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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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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