Filter Adoption Survey by Denver Water - Customers

Filter Adoption Survey (Renewal)

Documents and Forms

Document Name Document Type
Form 6700-009 Filter Adoption Survey by Denver Water - Customers Form and Instruction
6700-009 Filter Adoption Survey DWD-FilterUseSurveyFull_Revised.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Filter Adoption Survey by Denver Water - Customers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 40 CFR 141

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6700-009	Filter Adoption Survey	DWD-FilterUseSurveyFull_Revised.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
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.