View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
UIC Program - States and Local Governments
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
40 CFR 144
40 CFR 145
40 CFR 146
40 CFR 147
40 CFR 148
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
7520-1
Permit Review and Issuance
7520-1, Part I Permit Review and Issuance, Wells in Area of Review.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
Yes
Fillable Fileable
Form and Instruction
7520-2a
Compliance Evaluation
7520-2A, Part II, Compliance Evaluation.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
Yes
Fillable Fileable
Form and Instruction
7520-2b
Compliance Evaluation-SNC
7520-2B, Part II, Compliance Evaluation, Significant Noncompliance.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
Yes
Fillable Fileable
Form and Instruction
7520-3
Inspections and MIT
7520-3, Part III, Inspections Mechanical Integrity Testing.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
Yes
Fillable Fileable
Form and Instruction
7520-4
Quarterly Exception List
7520-4, Part IV, Quarterly Exceptions List.pdf
www.epa.gov/uic/compliance-reporting-requirements-injection-well-owners-and-operators-and-state-regulatory
Yes
Yes
Fillable Fileable
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:
59
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
112,190
0
16
15,409
0
96,765
Annual IC Time Burden (Hours)
230,410
0
3,334
76,110
0
150,966
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.