Follow-Up Survey - CWSs

2020 Drinking Water Infrastructure Needs Survey and Assessment (NEW)

Documents and Forms

Document Name Document Type
2616.02 Appendix A - Example Survey Instrument.docx Other-Example Survey Instrument
2616.02 Appendix A - Example Survey Instrument.docx Other-Example Survey Instrument

Information Collection (IC) Details

IC Title:	Follow-Up Survey - CWSs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.13

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Example Survey Instrument			2616.02 Appendix A - Example Survey Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,629	Number of Respondents for Small Entity: 606

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,629	3,629
Annual IC Time Burden (Hours)	1,745	1,745
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.