APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER - FORM 1 (GENERAL INFORMATION)

ICR 198408-2000-002

OMB: 2000-0474

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
2000-0474 198408-2000-002
Historical Active 198301-2000-002
EPA
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER - FORM 1 (GENERAL INFORMATION)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/05/1984
Retrieve Notice of Action (NOA) 08/07/1984
When this ICR is next submitted for approval, please explain how EPA estimated the number of burden hours expended by each permittee. This clearance will expire in April 1985 because it will be combined with other NPDES ICRs by that date.
  Inventory as of this Action Requested Previously Approved
04/30/1985 04/30/1985
15,566 0 0
35,698 0 0
0 0 0

AN APPLICANT SUBMITS GENERAL FACILITY INFORMATION (NAME, LOCATION, MAILING ADDRESS) FOR A PERMIT TO DISCHARGE ANY POLLUNTANT INTO NATIONA WATERS. TECHNICAL FACILITY DATA ARE SUBMITTED ON OTHER FORMS. PERMIT AUTHORITY (EPA OR STATE) APPROVES/DISAPPROVES APPLICATION AND SETS PERMIT CONDITIONS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER - FORM 1 (GENERAL INFORMATION) 0227

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15,566 0 0 0 15,566 0
Annual Time Burden (Hours) 35,698 0 0 0 35,698 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/07/1984


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