WIFIA Application

EPA Application Materials for the Water Infrastructure Finance and Innovation Act (WIFIA) (Renewal)

Documents and Forms

Document Name Document Type
Form 6100-032 WIFIA Application Form and Instruction
6100-032 WIFIA Application 2040-0292_Exhibit C - WIFIA Application_ICR.docm www.epa.gov/wifia Form and Instruction
6100-054 Application Section E 2040-0292_Exhibit D - Application Section E..xlsm www.epa.gov/wifia Form and Instruction

Information Collection (IC) Details

IC Title:	WIFIA Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 35.10000 - 35.10080

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-032	WIFIA Application	2040-0292_Exhibit C - WIFIA Application_ICR.docm	http://www.epa.gov/wifia	Yes	Yes	Fillable Fileable
Form and Instruction	6100-054	Application Section E	2040-0292_Exhibit D - Application Section E..xlsm	http://www.epa.gov/wifia	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35	0	0	35
Annual IC Time Burden (Hours)	7,000	0	0	7,000
Annual IC Cost Burden (Dollars)	8,750,000	-1,750,000	-2,625,000	13,125,000

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.