Information Collection

Ambient Air Quality Surveillance (Renewal)

IC 24163 under ICR 200212-2060-011 · OMB 2060-0084.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Ambient Air Quality Surveillance (Renewal)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0940.17				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	520	0	520
Annual IC Time Burden (Hours)	2,404,606	0	2,404,606
Annual IC Cost Burden (Dollars)	81,327,000	7,685,000	73,642,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.