Water Efficiency Collection - Individuals

EPA's WaterSense Program (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0272 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-07 Water Efficiency Collection - Individuals Form and Instruction
Attachment 17_Awards Statement_Irrigation Partner.pdf Instruction
Attachment 31_Consumer Awareness Telephone Survey.pdf Other-Consumer Awareness Telephone S
6100-07 Partnership Agreement Certified Professional Attachment 2_Partnership Agreement_Irrigation Partner.pdf www.epa.gov/watersense/docs/ws_partnership_certpros_508_2-1-13.pdf Form and Instruction
6100-17 Awards Application Form - Irrigation Attachment 24_Awards Form_Irrigation Partner.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Water Efficiency Collection - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-07	Partnership Agreement Certified Professional	Attachment 2_Partnership Agreement_Irrigation Partner.pdf	http://www.epa.gov/watersense/docs/ws_partnership_certpros_508_2-1-13.pdf	Yes	Yes	Fillable Printable
Form and Instruction	6100-17	Awards Application Form - Irrigation	Attachment 24_Awards Form_Irrigation Partner.pdf		Yes	Yes	Fillable Fileable
Instruction			Attachment 17_Awards Statement_Irrigation Partner.pdf		Yes	No	Printable Only
Other-Consumer Awareness Telephone Survey Script			Attachment 31_Consumer Awareness Telephone Survey.pdf		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 265	Number of Respondents for Small Entity: 265

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	265	-279	544
Annual IC Time Burden (Hours)	964	-1,091	2,055
Annual IC Cost Burden (Dollars)	271	-371	642

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.