View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
49 CFR 673
2 CFR 200
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5900-679
Clean Ports Supplemental Application Template
EPA Form Number 5900-679_Clean Ports Supplemental Application Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-680
CSB Supplemental Application Template
P_5900-680_CSB Supplemental Application Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-681
DERA Supplemental Application Template
U_5900-681_DERA Supplemental Application Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-682
CHDV Eligibility and Scrappage Statement
I_5900-682_CHDV Eligibility and Scrappage Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-683
CHDV Project Reporting Template
J_5900-683_CHDV Project Reporting Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-684
TCD Scrappage Statement
V_5900-684_TCD Scrappage Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-686
CSB Eligibility and Scrap Sell Donate Statement
N_5900-686_CSB Eligibility and Scrap Sell Donate Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-687
DERA Eligibility Statement
R_5900-687_DERA Eligibility Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-688
CHDV Supplemental Application Template
T_5900-688_DERA Scrappage Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-690
Clean Ports Project Reporting Template
L_5900-690_Clean Ports Project Reporting Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-691
DERA Project Reporting Template
S_5900-691_DERA Project Reporting Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-692
CSB Project Reporting Template
O_5900-692_CSB Project Reporting Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-693
CSB Utility Partnership Statement
Q_5900-693_CSB Utility Partnership Statement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-689
CHDV Supplemental Application Template
K_5900-689_CHDV Supplemental Application Template.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-685
TCD Utility Partnership Agreement
EPA Form Number 5900-685_TCD Utility Partnership Agreement.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-689
CHDV Supplemental Application Template
EPA Form Number 5900-689_CHDV Supplemental Application Template.xlsx
Yes
Yes
Fillable Fileable Signable
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:
83
Number of Respondents for Small Entity:
0
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
437
0
437
0
0
0
Annual IC Time Burden (Hours)
2,837
0
2,837
0
0
0
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.