Supplemental Information on Water Quality Considerations

OMB Control No: 1140-0097	ICR Reference No: 201110-1140-002
Status: Historical Active	Previous ICR Reference No: 200907-1140-002
Agency/Subagency: DOJ/ATF	Agency Tracking No:
Title: Supplemental Information on Water Quality Considerations
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/09/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/01/2011
Terms of Clearance: ATF has updated this collection to allow respondents to email or fax the form to ATF after printing, signing, and scanning it. While this is a positive step forward, the collection is not fully electronic because it requires a handwritten signature. This collection is approved for only 2 years due to the lack of full GPEA compliance. While we understand ATF is prioritizing making its forms with the greatest usage fully electronic, we continue to encourage ATF to make this collection fully electronic as soon as possible.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2012
Responses	680	0	680
Time Burden (Hours)	340	0	340
Cost Burden (Dollars)	306	0	0

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Abstract: Under USC 33 1341(a), ATF requires respondents to complete ATF F 5000.30, Supplemental Information on Water Quality Considerations. The data is used by ATF to determine whether a certification from a State of multi-state authority is needed for discharge of effluent into navigable waters of the U.S.

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Authorizing Statute(s): US Code: 33 USC 1341 Name of Law: Navigation and Navigable Waters

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 50496	08/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 64380	10/18/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Supplemental Information on Water Quality Considerations ATF F 5000.30 Supplemental Information on Water Quality Considerations

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	680	680	0	0	0	0
Annual Time Burden (Hours)	340	340	0	0	0	0
Annual Cost Burden (Dollars)	306	0	0	0	306	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Gary Kirchoff 3046164401

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 11/01/2011

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