View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Information Collection Activities Associated with the SmartWay Transport Partnership	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	SmartWay Affiliate Agreement	affiliate-agreement-06-2014.pdf	http://www.epa.gov/otaq/smartway/forsupporters/index.htm	Yes	Yes	Printable Only
Form	N/A	SmartWay Tractor Equipment Check List	SmartWay Equipment Check List Sign-off.pdf	http://www.epa.gov/otaq/smartway/forpartners/documents/verified/equipment-checklist.pdf	Yes	Yes	Printable Only
Form and Instruction	420-B11-013	Mark Designation and Signature Page	SmartWay T&T Mark Signature Page.pdf	http://www.epa.gov/otaq/smartway/forpartners/documents/get-designated/420-B11-013.pdf	Yes	Yes	Printable Only
Form and Instruction	n/a	Truck Tool	trucktool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Barge Tool	bargetool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Rail Tool	rail.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	2015 Award SemiFinalist Application	2015 Award SemiFinalist Application.docx		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Shipper Tool	shippertool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Logistics Tool	logisticstool.xls		Yes	Yes	Fillable Printable
Form and Instruction	n/a	Multimedia Tool	multimodaltool.xlsm		Yes	Yes	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: 4,605	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	4,605	0	0	644	3,961	0
Annual IC Time Burden (Hours)	13,224	0	0	1,720	11,504	0
Annual IC Cost Burden (Dollars)	1,919	0	0	268	1,651	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.