View Information Collection (IC)

View Information Collection (IC)

IC Title:	State, Local, Tribal Government Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 30-31 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6200-03	Property Profile Form - Brownfields	2104.05 Property Profile Form.xlsx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Instruction			2104.05 Property Profile Form Instructions.docx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Form	6200-04	Job Training Reporting Form	2104.05 JT Reporting Form OMB.xlsx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Instruction			2104.05 Job Training Form Instructions OMB.docx	www.epa.gov/acres	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 964	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	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	2,476	0	0	-111	0	2,587
Annual IC Time Burden (Hours)	2,981	0	0	-186	0	3,167
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.