State & Tribal Primacy Agencies

2015 Drinking Water Infrastructure Needs Survey and Assessment (Reinstatement)

Documents and Forms

Document Name Document Type
Form 6100-02 State & Tribal Primacy Agencies Form and Instruction
6100-02 2015 Drinking Water Infrastructure Needs Survey and Asse EPA Form 6100-02.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	State & Tribal Primacy Agencies	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 and Instruction	6100-02	2015 Drinking Water Infrastructure Needs Survey and Assessment	EPA Form 6100-02.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	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 Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	7,124	7,124
Annual IC Cost Burden (Dollars)	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.