View Information Collection (IC)

View Information Collection (IC)

IC Title:	Form 3520-21, Businesses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 89 40 CFR 90 40 CFR 91 40 CFR 92 40 CFR 94 40 CFR 1068 40 CFR 85

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3520-21	Engine Declarations Form	3520-21.pdf	http://www.epa.gov/otaq/imports/forms/3520-21.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 250

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	8,000	0	0	0	0	8,000
Annual IC Time Burden (Hours)	4,000	0	0	0	0	4,000
Annual IC Cost Burden (Dollars)	16,000	0	0	0	0	16,000

Documents for IC

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.