Department of Veterans Affairs
OMB NO: 2900-0001 EXPIRATION DATE: 01/31/2007
RESPS:395,000 HOURS:592,500 COSTS(000):$0
Veteran's Application for Compenstion and/or Pension
FORMS: 21-526
OMB NO: 2900-0002 EXPIRATION DATE: 11/30/2007
RESPS:104,440 HOURS:104,440 COSTS(000):$0
Income-Nat Worth and Employment Statement
FORMS: 21-527
OMB NO: 2900-0003 EXPIRATION DATE: 11/30/2007
RESPS:300,000 HOURS:100,000 COSTS(000):$0
Application for Burial Benefits
FORMS: 21-530
OMB NO: 2900-0004 EXPIRATION DATE: 09/30/2008
RESPS:63,309 HOURS:76,736 COSTS(000):$0
Application for Dependency and Indemnity Compensation (DIC),
Death Pension and Accrued Benefits by a Surviving Spouse or
Child (death Compensation...); Application for DIC by a....
FORMS: 21-534 21-534A
OMB NO: 2900-0005 EXPIRATION DATE: 09/30/2007
RESPS:3,600 HOURS:4,320 COSTS(000):$0
Application for DIC by Parent(s) (Including Accrued Benefits and
Death Compensation)
FORMS: 21-535
OMB NO: 2900-0009 EXPIRATION DATE: 06/30/2008
RESPS:67,844 HOURS:16,961 COSTS(000):$0
Disabled Veterans Application for Vocational Rehabilitation and
38 CFR 21.30
FORMS: 28-1900
OMB NO: 2900-0011 EXPIRATION DATE: 01/31/2008
RESPS:3,000 HOURS:875 COSTS(000):$0
Application for Reinstatement
FORMS: 29-352 29-353
OMB NO: 2900-0012 EXPIRATION DATE: 07/31/2007
RESPS:29,636 HOURS:4,939 COSTS(000):$0
Application for Cash Surrender or Policy Loan
FORMS: 29-1546 29-1546-1
OMB NO: 2900-0013 EXPIRATION DATE: 02/28/2009
RESPS:650,000 HOURS:162,500 COSTS(000):$0
Application for United States Flag for Burial Purposes
FORMS: 21-2008
OMB NO: 2900-0014 EXPIRATION DATE: 09/30/2008
RESPS:82,000 HOURS:6,833 COSTS(000):$0
Authorization and Certification of Entrance or Reentrance into
Rehabilitation and Certification of Status
FORMS: 28-1905
OMB NO: 2900-0016 EXPIRATION DATE: 11/30/2008
RESPS:8,100 HOURS:14,175 COSTS(000):$0
Claim for Disability Insurance Benefits, Government Life
Insurance
FORMS: 29-357
OMB NO: 2900-0017 EXPIRATION DATE: 12/31/2006
RESPS:44,000 HOURS:20,250 COSTS(000):$0
Court Appointed Fiduciary's Account (letter size), Federal
Fiduciary's Account, Account Book, and Court Appointed
Fiduciary's Account, Certificate of Balance on Deposit and....
FORMS: 21-4706 21-4706B 21-4706C 21-4718 21-4718A
OMB NO: 2900-0018 EXPIRATION DATE: 06/30/2009
RESPS:2,400 HOURS:600 COSTS(000):$0
Application for Accreditation as Service Organization
Representative
FORMS: 21
OMB NO: 2900-0020 EXPIRATION DATE: 07/31/2007
RESPS:83,500 HOURS:13,917 COSTS(000):$0
Insurance, Life Insurance
FORMS: 29-336
OMB NO: 2900-0021 EXPIRATION DATE: 07/31/2007
RESPS:279,000 HOURS:66,166 COSTS(000):$0
Notice of Default; Notice of Default & Intention to Foreclose:
Notice of Intention to Foreclose
FORMS: 26-6850 26-6850A 26-6851
OMB NO: 2900-0024 EXPIRATION DATE: 08/31/2008
RESPS:3,732 HOURS:622 COSTS(000):$0
Insurance Deduction Authorization (For Deduction From Benefit
Payments)
FORMS: 29-888
OMB NO: 2900-0028 EXPIRATION DATE: 11/30/2008
RESPS:196,200 HOURS:22,700 COSTS(000):$0
Application of Service Representaive for Placement on Mailing
List, Request for & Consent to Release of Infor. from Claimant's
Records, Requests to Correspondent for Identifying Infor., 38 CFR
FORMS: VA-3215 VA-3288 VA-70-2
OMB NO: 2900-0029 EXPIRATION DATE: 09/30/2008
RESPS:108,000 HOURS:35,250 COSTS(000):$0
VA Forms 26-6705, Offer to Purchase and Contract of Sale, VA
Form 26-6705b, Credit Statement of Prospective Purchase, VA Form
26- 6705d, Addendum to VA Form 26-6705 (Virginia)
FORMS: VA-26-6705 VA-26-6705B VA-26-6705D
OMB NO: 2900-0031 EXPIRATION DATE: 10/31/2008
RESPS:600 HOURS:150 COSTS(000):$0
Veteran's Supplemental Application for Assistance in Acquiring
Specially Adapted Housing
FORMS: 26-4555C
OMB NO: 2900-0034 EXPIRATION DATE: 02/28/2009
RESPS:30,000 HOURS:7,500 COSTS(000):$0
Trainee Request for Leave - Chapter 31, Title 38 U.S.C.
FORMS: 28-1905H
OMB NO: 2900-0036 EXPIRATION DATE: 01/31/2008
RESPS:10 HOURS:28 COSTS(000):$0
Statement of Disappearance
FORMS: 21-1775
OMB NO: 2900-0038 EXPIRATION DATE: 05/31/2008
RESPS:1,000 HOURS:334 COSTS(000):$0
Information from Remarried Widow(er)
FORMS: 21-4103
OMB NO: 2900-0041 EXPIRATION DATE: 12/31/2007
RESPS:31,500 HOURS:7,875 COSTS(000):$0
Compliance Inspection Report
FORMS: 26-1839
OMB NO: 2900-0042 EXPIRATION DATE: 09/30/2006
RESPS:28,440 HOURS:28,440 COSTS(000):$0
Statement of Accredited Representative in Appealed Case
FORMS: 646
OMB NO: 2900-0043 EXPIRATION DATE: 11/30/2007
RESPS:226,000 HOURS:56,500 COSTS(000):$0
Declaration of Status of Dependents
FORMS: 21-686C
OMB NO: 2900-0045 EXPIRATION DATE: 01/31/2008
RESPS:300,000 HOURS:60,000 COSTS(000):$0
VA Request for Determination of Reasonable Value
FORMS: 26-1805
OMB NO: 2900-0046 EXPIRATION DATE: 11/30/2007
RESPS:312 HOURS:78 COSTS(000):$0
Statement of Heirs for Payment of Credits Due Estate of Veteran
FORMS: FL-29-596
OMB NO: 2900-0047 EXPIRATION DATE: 07/31/2008
RESPS:10,000 HOURS:7,500 COSTS(000):$0
Financial Statement
FORMS: 26-6807
OMB NO: 2900-0049 EXPIRATION DATE: 10/31/2008
RESPS:177,500 HOURS:37,792 COSTS(000):$0
Request for Approval of School Attendance (VA Form 21-674 and VA
Form 21-674c) School Attendance Report (VA Form 21-674b)
FORMS: 21-674 21-674B 21-674C
OMB NO: 2900-0051 EXPIRATION DATE: 06/30/2008
RESPS:236 HOURS:236 COSTS(000):$0
Quarterly Report of State Approving Agency Activities
FORMS: NONE
OMB NO: 2900-0052 EXPIRATION DATE: 08/31/2008
RESPS:180,000 HOURS:45,000 COSTS(000):$0
Report of Medical Examination for Disability Evaluation
FORMS: 21-2545
OMB NO: 2900-0055 EXPIRATION DATE: 07/31/2008
RESPS:1,000 HOURS:250 COSTS(000):$0
Request for Determination of Loan Guaranty Eligibility -
Unmarried Surviving Spouses
FORMS: 26-1817
OMB NO: 2900-0059 EXPIRATION DATE: 05/31/2008
RESPS:400 HOURS:800 COSTS(000):$0
Statement of Person Claiming to Have Stood in Relation of Parent
FORMS: 21-524
OMB NO: 2900-0060 EXPIRATION DATE: 09/30/2008
RESPS:84,350 HOURS:8,787 COSTS(000):$0
Claim for One Sum Payment (Government Life Insurance), VA Form
29-4125, Claim for Monthly Payments (National Service Life
Insurance), VA Form 29-4125a, and Claim for Monthly Payments...
FORMS: 29-4125 29-4125A 29-4125K
OMB NO: 2900-0061 EXPIRATION DATE: 12/31/2008
RESPS:12,000 HOURS:12,000 COSTS(000):$0
Request for Supplies (Chapter 31 - Vocational Rehabilitation)
FORMS: VA-28-1905M
OMB NO: 2900-0065 EXPIRATION DATE: 11/30/2007
RESPS:60,000 HOURS:15,000 COSTS(000):$0
Request for Employment Information in Connection with Claim for
Disability Benefits
FORMS: 21-4192
OMB NO: 2900-0066 EXPIRATION DATE: 11/30/2007
RESPS:5,167 HOURS:862 COSTS(000):$0
Request for Employment Information in Connection with a Claim
for Disability Benefits
FORMS: 29-459
OMB NO: 2900-0067 EXPIRATION DATE: 12/31/2008
RESPS:1,552 HOURS:388 COSTS(000):$0
Application for Autmobile or Other Conveyance and Adaptive
Equipment (Under 28 U.S.C. 3901-3904)
FORMS: VA-21-4502
OMB NO: 2900-0068 EXPIRATION DATE: 08/31/2008
RESPS:4,250 HOURS:2,833 COSTS(000):$0
Application for Service-Disabled Veterans Insurance
FORMS: 29-4364 29-0151
OMB NO: 2900-0073 EXPIRATION DATE: 10/31/2006
RESPS:916,160 HOURS:137,424 COSTS(000):$0
Enrollment Certification
FORMS: 22-1999 22-1999-1 22-1999-2 22-1999-3 22-1999-4 22-1999-5
22-1999-6
OMB NO: 2900-0074 EXPIRATION DATE: 10/31/2006
RESPS:80,000 HOURS:16,000 COSTS(000):$0
Request for Change of Program or Place of Training (For
Veterans, Servicepersons, & Members of the Selected Reserve)
FORMS: 22-1995
OMB NO: 2900-0075 EXPIRATION DATE: 08/31/2008
RESPS:752,000 HOURS:188,000 COSTS(000):$0
Statement in Support of Claim
FORMS: 21-4138
OMB NO: 2900-0079 EXPIRATION DATE: 07/31/2008
RESPS:130,000 HOURS:10,833 COSTS(000):$0
Employment Questionnaire
FORMS: 21-4140 21-4140-1
OMB NO: 2900-0080 EXPIRATION DATE: 11/30/2007
RESPS:434,250 HOURS:31,546 COSTS(000):$0
Claim for Payment of Cost of Unauthorized Medical Services;
Funeral Arrangements; Authority and Invoice for Travel by
Ambulance or Other Hired Vehicle; Authorization and Invoice...
FORMS: 10-583 10-2065 10-2511 10-7078
OMB NO: 2900-0085 EXPIRATION DATE: 09/30/2008
RESPS:54,281 HOURS:51,899 COSTS(000):$0
Appeal to Board of Veterans' Appeals, VA Form 9; Withdrawal of
Services by a Representative; Filing of Representative's Fee
Agreements and Motions for Review of Such Agreements; Motion...
FORMS: VA-9
OMB NO: 2900-0086 EXPIRATION DATE: 09/30/2008
RESPS:442,500 HOURS:110,625 COSTS(000):$0
Request for a Certificate of Eligibility for VA Home Loan
Benefits
FORMS: 26-1880
OMB NO: 2900-0089 EXPIRATION DATE: 01/31/2008
RESPS:8,000 HOURS:4,000 COSTS(000):$0
Statement of Dependency of Parent(s)
FORMS: 21-509
OMB NO: 2900-0090 EXPIRATION DATE: 09/30/2006
RESPS:32,000 HOURS:8,000 COSTS(000):$0
Application for Voluntary Service
FORMS: 10-7055
OMB NO: 2900-0091 EXPIRATION DATE: 06/30/2007
RESPS:1,900,000 HOURS:1,005,000 COSTS(000):$0
Application and Renewal for Health Benefits
FORMS: 10-10EZ 10-10EZR
OMB NO: 2900-0092 EXPIRATION DATE: 07/31/2007
RESPS:60,000 HOURS:45,000 COSTS(000):$0
Counseling Record - Personal Information
FORMS: 28-1902 28-1902W
OMB NO: 2900-0094 EXPIRATION DATE: 08/31/2008
RESPS:1,000 HOURS:250 COSTS(000):$0
Supplement to VA Forms 21-526, 21-534, and 21-535 (For
Philippine Claims)
FORMS: 21-4169
OMB NO: 2900-0095 EXPIRATION DATE: 01/31/2008
RESPS:2,075 HOURS:1,038 COSTS(000):$0
Pension Claim Questionnaire for Farm Income
FORMS: 21-4165
OMB NO: 2900-0098 EXPIRATION DATE: 03/31/2009
RESPS:40,000 HOURS:28,000 COSTS(000):$0
Aplication for Survivors' and Dependents' Assistance (Under
Provisions of Chapter 35, Title 38, U.S.C.), VA Form 22-5430
FORMS: 22-5490
OMB NO: 2900-0099 EXPIRATION DATE: 09/30/2007
RESPS:17,600 HOURS:4,400 COSTS(000):$0
Request for Change of Program or Place of Training Survivors'
and Dependents' Education Assistance (Under Provisions of
Chapter 35, Title 38 U.S.C.)
FORMS: 22-5495
OMB NO: 2900-0101 EXPIRATION DATE: 07/31/2008
RESPS:219,000 HOURS:113,075 COSTS(000):$0
Eligibility Verification Reports
FORMS: 21-0510 21-0512S-1 21-0512V-1 21-0513-1 21-0514 21-0514-1
21-0516 21-0516-1 21-0518 21-0518-1
OMB NO: 2900-0104 EXPIRATION DATE: 04/30/2009
RESPS:4,408 HOURS:2,204 COSTS(000):$0
Report of Accidental Injury in Support of Claim for Compensation
or Pension/Statement of Witness to Accident
FORMS: 21-4176-PARTS-A 21-4176-PARTS-B
OMB NO: 2900-0107 EXPIRATION DATE: 12/31/2008
RESPS:4,316 HOURS:863 COSTS(000):$0
Certificate as to Assets
FORMS: 21-4709
OMB NO: 2900-0108 EXPIRATION DATE: 12/31/2008
RESPS:7,000 HOURS:3,500 COSTS(000):$0
Report of Income from Property or Business
FORMS: 21-4185
OMB NO: 2900-0110 EXPIRATION DATE: 07/31/2009
RESPS:3,000 HOURS:500 COSTS(000):$0
Application For Assumption Approval and/or Release From Personal
Liability To The Governmeont On a Home Loan
FORMS: 26-6381
OMB NO: 2900-0111 EXPIRATION DATE: 01/31/2008
RESPS:7,500 HOURS:1,875 COSTS(000):$0
Statement of Purchaser or Owner Assuming Seller's Loan
FORMS: 26-6382
OMB NO: 2900-0112 EXPIRATION DATE: 03/31/2009
RESPS:2,400 HOURS:400 COSTS(000):$0
Statement of Holder or Servicer of Veteran's Loan
FORMS: 26-559
OMB NO: 2900-0113 EXPIRATION DATE: 10/31/2006
RESPS:6,200 HOURS:2,067 COSTS(000):$0
Application for Fee Personnel Designation
FORMS: 26-6681
OMB NO: 2900-0114 EXPIRATION DATE: 06/30/2008
RESPS:6,500 HOURS:2,708 COSTS(000):$0
Statement of Marital Relationship
FORMS: 21-4170
OMB NO: 2900-0115 EXPIRATION DATE: 08/31/2008
RESPS:2,400 HOURS:800 COSTS(000):$0
Supporting Statement Regarding Marriage
FORMS: 21-4171
OMB NO: 2900-0116 EXPIRATION DATE: 07/31/2008
RESPS:1,664 HOURS:416 COSTS(000):$0
Notice to Department of Veterans Affairs of Veteran or
Beneficiary Incarcerated in Penal Institution
FORMS: 21-4193
OMB NO: 2900-0117 EXPIRATION DATE: 07/31/2007
RESPS:12,500 HOURS:3,125 COSTS(000):$0
Inquiry Concerning Application for Employment
FORMS: VAFL-5-127
OMB NO: 2900-0118 EXPIRATION DATE: 04/30/2007
RESPS:21,300 HOURS:3,550 COSTS(000):$0
Transfer of Scholastic Credit (Schools)
FORMS: 22-315
OMB NO: 2900-0119 EXPIRATION DATE: 10/31/2008
RESPS:20,277 HOURS:4,055 COSTS(000):$0
Report of Treatment in Hospital
FORMS: 29-551
OMB NO: 2900-0120 EXPIRATION DATE: 07/31/2008
RESPS:20,277 HOURS:5,069 COSTS(000):$0
Report of Treatment by Attending Physician
FORMS: 29-551A
OMB NO: 2900-0121 EXPIRATION DATE: 03/31/2009
RESPS:244 HOURS:61 COSTS(000):$0
Obtaining Supplemental Information from Hospital or Doctor
FORMS: 29-551B
OMB NO: 2900-0128 EXPIRATION DATE: 06/30/2009
RESPS:23,352 HOURS:4,459 COSTS(000):$0
Notice of Lapse & Application for Reinstatement
FORMS: 29-389 29-389-1
OMB NO: 2900-0129 EXPIRATION DATE: 06/30/2008
RESPS:6,570 HOURS:548 COSTS(000):$0
Supplemental Disability Report
FORMS: FL-29-30A
OMB NO: 2900-0130 EXPIRATION DATE: 05/31/2008
RESPS:40,000 HOURS:20,000 COSTS(000):$0
Status of Loan Account - Foreclosure or Other Liquidation
FORMS: 26-567
OMB NO: 2900-0131 EXPIRATION DATE: 08/31/2008
RESPS:9,000 HOURS:3,000 COSTS(000):$0
Request for Supplemental Information on Medical and Nonmedical
Applications
FORMS: 29-615
OMB NO: 2900-0132 EXPIRATION DATE: 02/28/2009
RESPS:3,000 HOURS:500 COSTS(000):$0
Veteran's Application in Acquiring Specially Adapted Housing or
Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a)
or 2101(b))
FORMS: 26-4555
OMB NO: 2900-0138 EXPIRATION DATE: 11/30/2007
RESPS:22,800 HOURS:5,700 COSTS(000):$0
Request for Details of Express
FORMS: 21-8049
OMB NO: 2900-0139 EXPIRATION DATE: 05/31/2008
RESPS:1,200 HOURS:300 COSTS(000):$0
Notice - Payment Not Applied
FORMS: 29-4499A
OMB NO: 2900-0143 EXPIRATION DATE: 09/30/2007
RESPS:100 HOURS:33 COSTS(000):$0
Offer to Rent on Month-To-Month Basis and Credit Statement of
Prospective Tenant
FORMS: 26-6725
OMB NO: 2900-0144 EXPIRATION DATE: 11/30/2007
RESPS:200,000 HOURS:20,000 COSTS(000):$0
HUD/VA Addendum to Uniform Residential Loan Application and
Uniform Residential Loan Application
FORMS: 26-1802A FREDDIE-MAC-65 FANNIE-MAE-1003
OMB NO: 2900-0149 EXPIRATION DATE: 05/31/2008
RESPS:4,500 HOURS:1,125 COSTS(000):$0
Application for Conversion
FORMS: 29-0152
OMB NO: 2900-0153 EXPIRATION DATE: 06/30/2008
RESPS:60,000 HOURS:15,000 COSTS(000):$0
Disability Benefits Questionnaire
FORMS: 29-8313 29-8313-1
OMB NO: 2900-0154 EXPIRATION DATE: 06/30/2009
RESPS:200,000 HOURS:187,500 COSTS(000):$0
Application for VA Education Benefits
FORMS: 22-1990
OMB NO: 2900-0156 EXPIRATION DATE: 03/31/2009
RESPS:370,000 HOURS:50,570 COSTS(000):$0
Notice of Change in Student Status (Under Chapter 30, 32, or 35,
Title 38 U.S.C.; Chapters 1606 and 1607, Title 10 U.S.C.; or
Section 901 and 903 of Public Law 96-342; the National Call to...
FORMS: 22-1999B
OMB NO: 2900-0159 EXPIRATION DATE: 05/31/2008
RESPS:8,600 HOURS:2,867 COSTS(000):$0
Matured Endowment Notification
FORMS: 29-5767
OMB NO: 2900-0160 EXPIRATION DATE: 09/30/2006
RESPS:45,521 HOURS:15,127 COSTS(000):$0
Title 38, Parts 51 and 52, State Home Program
FORMS: 10-10SH 10-3567 10-5588 10-0143 10-0143A 10-0144 10-0144A
OMB NO: 2900-0161 EXPIRATION DATE: 07/31/2008
RESPS:96,400 HOURS:48,200 COSTS(000):$0
Medical Expense Report
FORMS: 21-8416
OMB NO: 2900-0162 EXPIRATION DATE: 07/31/2007
RESPS:14,630 HOURS:7,315 COSTS(000):$0
Monthly Certification of Flight Training
FORMS: 22-6553C
OMB NO: 2900-0165 EXPIRATION DATE: 08/31/2006
RESPS:45,553 HOURS:45,553 COSTS(000):$0
Financial Status Report
FORMS: 5655
OMB NO: 2900-0166 EXPIRATION DATE: 07/31/2008
RESPS:15,400 HOURS:1,284 COSTS(000):$0
Application for Ordinary Life Insurance (Age 65 and 70)
FORMS: 29-8700A-E 29-8701A-E 29-8485 29-8485A
OMB NO: 2900-0171 EXPIRATION DATE: 12/31/2008
RESPS:800 HOURS:400 COSTS(000):$0
Application for Individualized Tutorial Assistance (Under
Chapters 30, 32 and 35 Title 38 U.S.C.; Chapter 1607 Title 10
U.S.C.; Section 903 of Public Law 96-342, and the Omnibus...
FORMS: 22-1990T
OMB NO: 2900-0176 EXPIRATION DATE: 04/30/2007
RESPS:4,800 HOURS:1,200 COSTS(000):$0
Monthly Record of Training and Wages
FORMS: 28-1905C
OMB NO: 2900-0178 EXPIRATION DATE: 03/31/2009
RESPS:94,500 HOURS:15,750 COSTS(000):$0
Monthly Certification of On-The-Job and Apprenticeship Training
FORMS: 22-6553D 22-6553D-1
OMB NO: 2900-0179 EXPIRATION DATE: 05/31/2008
RESPS:28 HOURS:14 COSTS(000):$0
Application for Change of Permanent Plan (Medical)
FORMS: 29-1549
OMB NO: 2900-0180 EXPIRATION DATE: 01/31/2008
RESPS:1 HOURS:155 COSTS(000):$0
Compliance Report of Proprietary Institutions
FORMS: 20-4274
OMB NO: 2900-0188 EXPIRATION DATE: 11/30/2007
RESPS:697,200 HOURS:48,522 COSTS(000):$0
Claim, Authorization & Invoice for Prosthetic Items & Services
FORMS: 10-90 10-426 10-0103 10-1394 10-2421 10-2520 10-2914
OMB NO: 2900-0198 EXPIRATION DATE: 04/30/2009
RESPS:6,720 HOURS:1,120 COSTS(000):$0
Application for Annual Clothing Allowance Under 38 U.S.C. 1162
FORMS: 10-8678
OMB NO: 2900-0205 EXPIRATION DATE: 05/31/2009
RESPS:320,466 HOURS:123,894 COSTS(000):$0
Applications & Appraisals for Employment for Title 38 Positions
and Trainees
FORMS: 10-2850 10-341
OMB NO: 2900-0208 EXPIRATION DATE: 03/31/2009
RESPS:21,955 HOURS:5,341 COSTS(000):$0
Daily Log (Contract Progress Report - Formal Contract),
Architect-Engineer Fee Proposal and Contract Progress Report
FORMS: 10-6131 10-6298 10-6001A
OMB NO: 2900-0209 EXPIRATION DATE: 06/30/2009
RESPS:73,000 HOURS:11,984 COSTS(000):$0
Applications for Work-Study Allowance, Student Work-Study
Agreement (Student Services), Extended Student Work-Study
Agreement, Work-Study Agreement (Student Services)
FORMS: 22-8691 22-8692 22-8692A 22-8692B
OMB NO: 2900-0212 EXPIRATION DATE: 11/30/2007
RESPS:450 HOURS:113 COSTS(000):$0
Veterans Mortgage Life Insurance Statement
FORMS: 29-8636
OMB NO: 2900-0215 EXPIRATION DATE: 05/31/2008
RESPS:20 HOURS:3 COSTS(000):$0
Request for Information to Make Direct Payment to Child Reaching
Majority
FORMS: 21-863
OMB NO: 2900-0216 EXPIRATION DATE: 07/31/2008
RESPS:4,600 HOURS:2,300 COSTS(000):$0
Application for Accrued Amouts Due a Deceased Beneficiary
FORMS: 21-601
OMB NO: 2900-0219 EXPIRATION DATE: 03/31/2007
RESPS:2,375,500 HOURS:394,667 COSTS(000):$0
CHAMPVA Benefits - Application, Claim, Other Health Insurance &
Potential Liability
FORMS: 10-10D 10-7959A 10-7959C 10-7959D
OMB NO: 2900-0222 EXPIRATION DATE: 07/31/2007
RESPS:334,000 HOURS:83,500 COSTS(000):$0
Application for Standard Government Headstone or Marker for
Installation in Private or State Veterans Cemetery
FORMS: 40-1330
OMB NO: 2900-0227 EXPIRATION DATE: 08/31/2006
RESPS:546,600 HOURS:207,287 COSTS(000):$0
Nation-wide Customer Satisfaction Surveys
FORMS: 10-0142B 10-1465-1 10-1465-3 10-5387
OMB NO: 2900-0249 EXPIRATION DATE: 09/30/2007
RESPS:40,000 HOURS:16,667 COSTS(000):$0
Loan Service Report
FORMS: 26-6808
OMB NO: 2900-0251 EXPIRATION DATE: 07/31/2007
RESPS:175,000 HOURS:29,167 COSTS(000):$0
VA Form 26-8778, Request to Lender for Status of Loan Account-LCS
FORMS: 26-8778
OMB NO: 2900-0252 EXPIRATION DATE: 01/31/2008
RESPS:120 HOURS:50 COSTS(000):$0
Application for Authority to Close Loans on an Automatic Basis -
Nonsupervised Lenders
FORMS: 26-8736
OMB NO: 2900-0253 EXPIRATION DATE: 01/31/2008
RESPS:3,000 HOURS:1,000 COSTS(000):$0
Nonsupervised Lender's Nomination and Recommendation of Credit
Underwriter
FORMS: 26-8736A
OMB NO: 2900-0260 EXPIRATION DATE: 02/29/2008
RESPS:1,000,000 HOURS:33,333 COSTS(000):$0
Request for and Authorization to Release Medical Records or
Health Information, Individual's Request for a Copy of Their Own
Health Information
FORMS: 10-5345 10-5345A
OMB NO: 2900-0261 EXPIRATION DATE: 05/31/2008
RESPS:50,000 HOURS:8,333 COSTS(000):$0
Application for Refund of Educational Contributions
FORMS: 24-5281
OMB NO: 2900-0262 EXPIRATION DATE: 04/30/2007
RESPS:2,000 HOURS:333 COSTS(000):$0
Designationof Certifying Official
FORMS: 22-8794
OMB NO: 2900-0265 EXPIRATION DATE: 08/31/2006
RESPS:5,000 HOURS:417 COSTS(000):$0
Application for Counseling
FORMS: 28-8832
OMB NO: 2900-0270 EXPIRATION DATE: 07/31/2008
RESPS:5,000 HOURS:3,750 COSTS(000):$0
Financial Counseling Statement
FORMS: 26-8844
OMB NO: 2900-0300 EXPIRATION DATE: 07/31/2007
RESPS:75 HOURS:25 COSTS(000):$0
Veterans Application for Assistance in Acquiring Special Housing
Adaptations
FORMS: 26-4555D
OMB NO: 2900-0317 EXPIRATION DATE: 09/30/2007
RESPS:2,400 HOURS:200 COSTS(000):$0
Request for Identifying Information RE: Veteran's Loan Records
FORMS: 26-626
OMB NO: 2900-0319 EXPIRATION DATE: 09/30/2006
RESPS:17,600 HOURS:1,467 COSTS(000):$0
Fiduciary Agreement
FORMS: 21-4703
OMB NO: 2900-0320 EXPIRATION DATE: 09/30/2008
RESPS:1,250 HOURS:625 COSTS(000):$0
Escrow Agreement for Postponed Exterior Onsite Improvements
FORMS: 26-1849
OMB NO: 2900-0321 EXPIRATION DATE: 06/30/2009
RESPS:331,400 HOURS:27,616 COSTS(000):$0
Appointment of Veterans Service Organization as Claimant's
Representative 'and' Appointment of Individual as Claimant's
Representative
FORMS: 21-22 21-22A
OMB NO: 2900-0324 EXPIRATION DATE: 08/31/2008
RESPS:1,440 HOURS:1,080 COSTS(000):$0
Supplemental Physical Examination Report
FORMS: 29-8146 29-8158 29-8160
OMB NO: 2900-0325 EXPIRATION DATE: 07/31/2007
RESPS:13,600 HOURS:1,133 COSTS(000):$0
Certificate of Delivery of Advance Payment and Enrollment
FORMS: 22-1999V
OMB NO: 2900-0335 EXPIRATION DATE: 02/28/2007
RESPS:12,460 HOURS:4,153 COSTS(000):$0
Dental Record Authorization and Invoice for Outpatient Service
FORMS: 10-2570D
OMB NO: 2900-0342 EXPIRATION DATE: 09/30/2007
RESPS:300 HOURS:300 COSTS(000):$0
'Other On-the-Job Training and Apprenticeship Training Agreement
and Standards' and 'Employer's Application to Provide Job
Training'
FORMS: 22-8864 22-8865
OMB NO: 2900-0353 EXPIRATION DATE: 06/30/2009
RESPS:7,200 HOURS:1,200 COSTS(000):$0
Certification of Lessons Completed (Under Chapters 30, 32, and
35, Title 38, U.S.C.; Chapter 31, 110, 1606 and 1607, Title 10,
U.S.C., and Section 903, Public Law 96-342)
FORMS: 22-6553B 22-6553B-1
OMB NO: 2900-0355 EXPIRATION DATE: 05/31/2007
RESPS:84,000 HOURS:14,000 COSTS(000):$0
Verification of Pursuit of Course (Leading to a Standard College
Degree)
FORMS: 22-6553
OMB NO: 2900-0358 EXPIRATION DATE: 01/31/2007
RESPS:18,300 HOURS:9,150 COSTS(000):$0
Supplemental Information for Change of Program or Reenrollment
After Unsatisfactory Attendance, Conduct or Progress
FORMS: 22-8873
OMB NO: 2900-0362 EXPIRATION DATE: 09/30/2008
RESPS:26,806 HOURS:26,139 COSTS(000):$0
VA Form 26-1874, Claim Under Loan Guaranty, and VA Form 1874a,
Claim Form Addendum - Adjustable Rate Mortgages
FORMS: 26-1874 26-1874A
OMB NO: 2900-0365 EXPIRATION DATE: 07/31/2007
RESPS:329 HOURS:55 COSTS(000):$0
Request for Disinterment
FORMS: 40-4970
OMB NO: 2900-0368 EXPIRATION DATE: 11/30/2008
RESPS:3,600 HOURS:1,800 COSTS(000):$0
Monthly Statement of Wages Paid to Trainee
FORMS: 28-1917
OMB NO: 2900-0376 EXPIRATION DATE: 04/30/2007
RESPS:36,000 HOURS:12,000 COSTS(000):$0
Agent Orange Registry Code Sheet
FORMS: 10-9009
OMB NO: 2900-0377 EXPIRATION DATE: 03/31/2007
RESPS:480 HOURS:240 COSTS(000):$0
Claim for Repurchase of Loan
FORMS: 26-8084
OMB NO: 2900-0379 EXPIRATION DATE: 04/30/2007
RESPS:129,000 HOURS:10,750 COSTS(000):$0
Time Record (Work-Study Program)
FORMS: 22-8690
OMB NO: 2900-0381 EXPIRATION DATE: 01/31/2009
RESPS:25,000 HOURS:4,167 COSTS(000):$0
Notice for Election to Convey and/or Invoice for Transfer of
Property
FORMS: 26-8903
OMB NO: 2900-0386 EXPIRATION DATE: 06/30/2009
RESPS:40,000 HOURS:6,667 COSTS(000):$0
Interest Rate Reduction Refinancing Loan Worksheet
FORMS: 26-8923
OMB NO: 2900-0390 EXPIRATION DATE: 08/31/2008
RESPS:1,800 HOURS:600 COSTS(000):$0
Application of Surviving Spouse or Child for REPS Benefits
(Restored Entitlement Program for Survivors)
FORMS: VA-21-8924
OMB NO: 2900-0393 EXPIRATION DATE: 05/31/2008
RESPS:20,845 HOURS:20,845 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulation (VAAR)
Part 813
FORMS: NONE
OMB NO: 2900-0394 EXPIRATION DATE: 06/30/2008
RESPS:1,200 HOURS:300 COSTS(000):$0
Certification of School Attendance-REPS
FORMS: VA-21-8926
OMB NO: 2900-0399 EXPIRATION DATE: 12/31/2008
RESPS:5,300 HOURS:1,767 COSTS(000):$0
Student Beneficiary Report - REPS (Restored Entitlement Program
for Survivors)
FORMS: VA-21-9038 VA-21-8938-1
OMB NO: 2900-0404 EXPIRATION DATE: 05/31/2008
RESPS:24,000 HOURS:18,000 COSTS(000):$0
Veteran's Application for Increased Compensation Based on
Unemployability
FORMS: 21-8940
OMB NO: 2900-0405 EXPIRATION DATE: 08/31/2008
RESPS:1,200 HOURS:300 COSTS(000):$0
REPS Annual Eligibility Report (Under the Provisions of Section
156, Public Law 97-377)
FORMS: 21-8941
OMB NO: 2900-0406 EXPIRATION DATE: 01/31/2007
RESPS:75,000 HOURS:6,250 COSTS(000):$0
Verification of VA Benefit-Related Indebtedness
FORMS: 26-8937
OMB NO: 2900-0408 EXPIRATION DATE: 10/31/2008
RESPS:110 HOURS:36 COSTS(000):$0
Manufactured Home Loan Claim Under Loan Guaranty (Manufactured
Home Unit Only)/Manufactured Home Loan Claim Under Loan Guaranty
(Manufactured Home Unit and Lot or Lot Only)
FORMS: 26-8629 26-8630
OMB NO: 2900-0418 EXPIRATION DATE: 05/31/2008
RESPS:1,600 HOURS:530 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulation Sections
809.106-1 and 809.504(d) and Clause 852.209-70
FORMS: NONE
OMB NO: 2900-0422 EXPIRATION DATE: 05/31/2008
RESPS:4,025 HOURS:5,584 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulation Clauses
852-236-72, Alternate I to 852.236-80, 852.236-82, 852.236-83,
852.236-84, and 852.236-88
FORMS: NONE
OMB NO: 2900-0427 EXPIRATION DATE: 11/30/2006
RESPS:1,050 HOURS:1,575 COSTS(000):$0
Former POW Medical History
FORMS: 10-0048
OMB NO: 2900-0455 EXPIRATION DATE: 11/30/2007
RESPS:228 HOURS:247 COSTS(000):$0
Equal Opportunity Compliance Review Report and Supplement to
Equal Opportunity Compliance Review Report
FORMS: 20-8734 20-8734A
OMB NO: 2900-0458 EXPIRATION DATE: 07/31/2007
RESPS:70,000 HOURS:11,667 COSTS(000):$0
Certification of School Attendance or Termination
FORMS: VA-21-8960 VA-21-8960-1
OMB NO: 2900-0463 EXPIRATION DATE: 08/31/2008
RESPS:21,000 HOURS:3,500 COSTS(000):$0
Notice of Waiver of VA Compensation or Pension to Receive
Military Pay and Allowances
FORMS: 21-8951 21-8951-2
OMB NO: 2900-0465 EXPIRATION DATE: 01/31/2007
RESPS:2,000,000 HOURS:45,575 COSTS(000):$0
Student Verification of Enrollment
FORMS: 22-8979
OMB NO: 2900-0469 EXPIRATION DATE: 07/31/2008
RESPS:2,078 HOURS:1,039 COSTS(000):$0
Certificate Showing Residence and Heirs of Deceased Veteran or
Beneficiary
FORMS: 29-541
OMB NO: 2900-0474 EXPIRATION DATE: 01/31/2008
RESPS:425,000 HOURS:14,167 COSTS(000):$0
Create Payment Request for the VA Funding Fee Payment System (VA
FFPS); A Computer Generated Funding Fee Receipt
FORMS: 26-8986
OMB NO: 2900-0492 EXPIRATION DATE: 08/31/2008
RESPS:3,000 HOURS:1,500 COSTS(000):$0
VA MATIC Authorization
FORMS: 29-0532-1
OMB NO: 2900-0495 EXPIRATION DATE: 07/31/2007
RESPS:2,270 HOURS:189 COSTS(000):$0
Marital Status Questionnaire
FORMS: 21-0537
OMB NO: 2900-0500 EXPIRATION DATE: 02/29/2008
RESPS:84,500 HOURS:14,083 COSTS(000):$0
Status of Dependents Questionnaire
FORMS: 21-0538
OMB NO: 2900-0501 EXPIRATION DATE: 08/31/2008
RESPS:540 HOURS:45 COSTS(000):$0
Veterans Mortgage Life Insurance (VMLI) Inquiry
FORMS: 29-0543
OMB NO: 2900-0503 EXPIRATION DATE: 08/31/2008
RESPS:240 HOURS:240 COSTS(000):$0
Veterans Mortgage Life Insurance Change of Address Statement
FORMS: 29-0563
OMB NO: 2900-0510 EXPIRATION DATE: 08/31/2008
RESPS:2,700 HOURS:2,025 COSTS(000):$0
Application for Exclusion of Children's Income
FORMS: 21-0571
OMB NO: 2900-0518 EXPIRATION DATE: 03/31/2007
RESPS:30,000 HOURS:15,000 COSTS(000):$0
Income Verification
FORMS: 21-0161A
OMB NO: 2900-0519 EXPIRATION DATE: 12/31/2008
RESPS:450 HOURS:338 COSTS(000):$0
Locality Pay System for Nurses and Other Health Care Personnel
FORMS: 10-0132
OMB NO: 2900-0521 EXPIRATION DATE: 12/31/2007
RESPS:650,000 HOURS:125,000 COSTS(000):$0
Credit Underwriting Standards and Procedures for Processing VA
Guaranteed Loans
FORMS: 26-1820 26-8497 26-8947A
OMB NO: 2900-0523 EXPIRATION DATE: 01/31/2007
RESPS:200,000 HOURS:100,000 COSTS(000):$0
Loan Analysis
FORMS: 26-6393
OMB NO: 2900-0524 EXPIRATION DATE: 12/31/2006
RESPS:1,500 HOURS:250 COSTS(000):$0
VA Police Officer Pre-Employment Screening Checklist
FORMS: VA-0120
OMB NO: 2900-0525 EXPIRATION DATE: 04/30/2007
RESPS:5,000 HOURS:1,250 COSTS(000):$0
VA MATIC Change
FORMS: 29-0165
OMB NO: 2900-0539 EXPIRATION DATE: 11/30/2007
RESPS:10,000 HOURS:3,333 COSTS(000):$0
Application for Supplemental Service Disabled Veterans Insurance
FORMS: 29-0188 29-0189 29-0190
OMB NO: 2900-0545 EXPIRATION DATE: 09/30/2008
RESPS:1,500 HOURS:1,125 COSTS(000):$0
Report of Medical, Legal, and Other Expenses Incident to
Recovery for Injury or Death
FORMS: 21-8416B
OMB NO: 2900-0546 EXPIRATION DATE: 11/30/2007
RESPS:16,500 HOURS:2,750 COSTS(000):$0
Gravesite Reservation Survey (2 Year)
FORMS: FL-40-40
OMB NO: 2900-0548 EXPIRATION DATE: 01/31/2009
RESPS:859 HOURS:86 COSTS(000):$0
Customer Satisfaction with Hearing Survey Card
FORMS: 0745
OMB NO: 2900-0554 EXPIRATION DATE: 09/30/2006
RESPS:1,015 HOURS:14,340 COSTS(000):$0
Homeless Providers Grant and Per Diem Program
FORMS: 10-0361
OMB NO: 2900-0556 EXPIRATION DATE: 11/30/2008
RESPS:256,253 HOURS:128,127 COSTS(000):$0
Advanced Directive - Living Will and Durable Power of Attorney
FORMS: 10-0137
OMB NO: 2900-0559 EXPIRATION DATE: 07/31/2007
RESPS:65 HOURS:65 COSTS(000):$0
State Cemetery Data Sheet
FORMS: 40-0241
OMB NO: 2900-0564 EXPIRATION DATE: 09/30/2006
RESPS:96,000 HOURS:3,200 COSTS(000):$0
Direct Deposit Enrollment Form
FORMS: 24-0296 24-0296IDD
OMB NO: 2900-0565 EXPIRATION DATE: 04/30/2009
RESPS:3,100 HOURS:1,550 COSTS(000):$0
State Application for Interment Allowance Under 38 U.S.C.
Chapter 23
FORMS: 21-530A
OMB NO: 2900-0567 EXPIRATION DATE: 01/31/2007
RESPS:44,363 HOURS:1,479 COSTS(000):$0
Presidential Memorail Certificate (PMC)
FORMS: 40-0247
OMB NO: 2900-0568 EXPIRATION DATE: 09/30/2008
RESPS:8,000 HOURS:2,000 COSTS(000):$0
Submission of School Catalog to the State Approving Agency
FORMS: NONE
OMB NO: 2900-0569 EXPIRATION DATE: 01/31/2007
RESPS:131,587 HOURS:22,912 COSTS(000):$0
VA Voluntary Customer Surveys to Implement E.O. 12862
FORMS: NONE
OMB NO: 2900-0570 EXPIRATION DATE: 08/31/2006
RESPS:377,541 HOURS:108,617 COSTS(000):$0
Generic Veterans Health Administration Customer Satisfaction
Surveys
FORMS: NONE
OMB NO: 2900-0571 EXPIRATION DATE: 12/31/2006
RESPS:30,090 HOURS:13,398 COSTS(000):$0
Generic Clearance for NCA, and IG Customer Satisfaction Surveys
FORMS: NONE
OMB NO: 2900-0572 EXPIRATION DATE: 04/30/2007
RESPS:430 HOURS:72 COSTS(000):$0
Application for Benefits for Certain Children with Disabilities
Born of Vietnam and Certain Korea Service Veterans
FORMS: 21-0304
OMB NO: 2900-0576 EXPIRATION DATE: 09/30/2008
RESPS:2,700 HOURS:135 COSTS(000):$0
Certificate of Affirmation of Enrollment Agreement -
Correspondence Course (Under Chapters 20, 32, & 35, Title 38
U.S.C. Section 903 of PL 96-342, or Chapter....
FORMS: 22-1999C
OMB NO: 2900-0577 EXPIRATION DATE: 03/31/2007
RESPS:75 HOURS:19 COSTS(000):$0
Award Attachment for Certain Children with Disabilities Born of
Vietnam and Certain Korea Service Veterans
FORMS: 21-0307
OMB NO: 2900-0578 EXPIRATION DATE: 03/31/2007
RESPS:31,400 HOURS:3,400 COSTS(000):$0
Health Care for Certain Children of Vietnam Veterans - Spina
Bifida and Covered Birth Defects - Regulation
FORMS: 10-7959E
OMB NO: 2900-0579 EXPIRATION DATE: 11/30/2008
RESPS:60 HOURS:15 COSTS(000):$0
Request for Vocational Training Benefits - Certain Children of
Vietnam (Title 38 CFR 21.8014)
FORMS: NONE
OMB NO: 2900-0580 EXPIRATION DATE: 12/31/2008
RESPS:600 HOURS:63 COSTS(000):$0
Request for Transportation Expense Reimbursement (Title 38 CFR
21.8370))
FORMS: NONE
OMB NO: 2900-0583 EXPIRATION DATE: 05/31/2008
RESPS:376,000 HOURS:94,000 COSTS(000):$0
Regulation for Informed Consent for Patient Care (Title 38 CFR
17.32)
FORMS: NONE
OMB NO: 2900-0585 EXPIRATION DATE: 09/30/2007
RESPS:10,000 HOURS:1,666 COSTS(000):$0
VA Acquisition Regulation Clause 852.211-77, Brand Name or Equal
(was 852.210-77)
FORMS: NONE
OMB NO: 2900-0586 EXPIRATION DATE: 09/30/2007
RESPS:100 HOURS:50 COSTS(000):$0
VA Acquisition Regulation Provision 852.211-75, Technical
Industry Standards
FORMS: NONE
OMB NO: 2900-0587 EXPIRATION DATE: 09/30/2007
RESPS:15,000 HOURS:2,500 COSTS(000):$0
VA Acquisition Regulation Clause 852.211-70, Service Data Manual
(previously 852.210-70)
FORMS: NONE
OMB NO: 2900-0588 EXPIRATION DATE: 09/30/2007
RESPS:30 HOURS:150 COSTS(000):$0
VA Acquisition Regulation Provision 852.211-74, Special Notice
(previously 852.210-74)
FORMS: NONE
OMB NO: 2900-0589 EXPIRATION DATE: 09/30/2007
RESPS:1,000 HOURS:17 COSTS(000):$0
VA Acquisition Regulation Provision 852.270-3, Shellfish
FORMS: NONE
OMB NO: 2900-0590 EXPIRATION DATE: 05/31/2008
RESPS:2,030 HOURS:1,015 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulations Clauses
852.237-7, 852.237-71, and 852.207-70
FORMS: NONE
OMB NO: 2900-0593 EXPIRATION DATE: 09/30/2007
RESPS:346,000 HOURS:960 COSTS(000):$0
VA Acquisition Regulation Provision 852.214-70, Caution to
Bidders - Bid Envelopes
FORMS: NONE
OMB NO: 2900-0594 EXPIRATION DATE: 09/30/2008
RESPS:5,000 HOURS:1,668 COSTS(000):$0
Election to Apply Selected Reserve Service to Either Montgomery
GI Bill - Active Duty or to the Montgomery GI Bill - Selected
Reserve - 38 CFR 21.7042 and 21.7540
FORMS: NONE
OMB NO: 2900-0600 EXPIRATION DATE: 07/31/2007
RESPS:101,652 HOURS:50,826 COSTS(000):$0
Regulation for Reconsideration of Denied Claims
FORMS: NONE
OMB NO: 2900-0601 EXPIRATION DATE: 06/30/2008
RESPS:78 HOURS:39 COSTS(000):$0
Loan Guaranty: Requirements for Interest Rate Reduction
Refinancing Loans
FORMS: NONE
OMB NO: 2900-0605 EXPIRATION DATE: 06/30/2008
RESPS:20 HOURS:15 COSTS(000):$0
Application for Accreditation as a Claims Agent
FORMS: 21A
OMB NO: 2900-0606 EXPIRATION DATE: 07/31/2008
RESPS:400 HOURS:800 COSTS(000):$0
Regulation for Submission of Evidence - Title 38 CFR 17.1C1(a)(2)
FORMS: NONE
OMB NO: 2900-0609 EXPIRATION DATE: 07/31/2007
RESPS:42,200 HOURS:10,900 COSTS(000):$0
Survey of Veteran Enrollees' Health and Reliance Upon VA
FORMS: 10-21034G
OMB NO: 2900-0610 EXPIRATION DATE: 02/28/2009
RESPS:10 HOURS:8 COSTS(000):$0
Ecclesiastical Endorsing Organization, Request to Designate
Ecclesiastical Endorsing Official
FORMS: VA-10-0379
OMB NO: 2900-0613 EXPIRATION DATE: 01/31/2009
RESPS:1,800 HOURS:600 COSTS(000):$0
Recordkeeping at Flight Schools
FORMS: NONE
OMB NO: 2900-0616 EXPIRATION DATE: 04/30/2007
RESPS:1,500 HOURS:250 COSTS(000):$0
Application for Furnishing Nursing Home and Residential Home Care
FORMS: 10-1170 10-2407
OMB NO: 2900-0618 EXPIRATION DATE: 09/30/2008
RESPS:200 HOURS:40 COSTS(000):$0
Application by Insured Terminally Ill Person for Accelerated
Benefit
FORMS: NONE
OMB NO: 2900-0619 EXPIRATION DATE: 11/30/2007
RESPS:30,000 HOURS:5,000 COSTS(000):$0
Inquiry Routing and Information System (IRIS)
FORMS: NONE
OMB NO: 2900-0620 EXPIRATION DATE: 11/30/2008
RESPS:294,373 HOURS:147,187 COSTS(000):$0
Payment/Reimbursement for Emergency Services for
Nonservice-Connected Conditions in Non-VA Facilities, 38 U.S.C.
1725
FORMS: NONE
OMB NO: 2900-0621 EXPIRATION DATE: 07/31/2008
RESPS:1,350 HOURS:2,750 COSTS(000):$0
National Practitioner Data Bank (NPDB) Regulations & VAF
10-0376a, Credentials Transfer Brief
FORMS: 10-0376A
OMB NO: 2900-0622 EXPIRATION DATE: 07/31/2008
RESPS:40 HOURS:20 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulation (VAAR)
Clause 852.236-89, Buy American Act
FORMS: NONE
OMB NO: 2900-0623 EXPIRATION DATE: 07/31/2008
RESPS:1,536 HOURS:778 COSTS(000):$0
Department of Veterans Affairs Acquisition Regulation Clause
852.236-91, Special Notes
FORMS: NONE
OMB NO: 2900-0624 EXPIRATION DATE: 01/31/2008
RESPS:372,209 HOURS:31,017 COSTS(000):$0
Obligation to Report Factors Affecting Entitlement (38 CFR
3.204(a)(1), 38 CFR 3.256(a) and 38 CFR 3.277(b))
FORMS: NONE
OMB NO: 2900-0629 EXPIRATION DATE: 07/31/2008
RESPS:6,000 HOURS:9,000 COSTS(000):$0
Application for Extended Care Services
FORMS: 10-10EC
OMB NO: 2900-0630 EXPIRATION DATE: 02/28/2009
RESPS:500,000 HOURS:83,333 COSTS(000):$0
Regulation on Application for Fisher Houses and Other Temporary
Lodging
FORMS: 10-0408
OMB NO: 2900-0635 EXPIRATION DATE: 10/31/2008
RESPS:1,200 HOURS:200 COSTS(000):$0
Suspension of Monthly Check
FORMS: 29-0759
OMB NO: 2900-0636 EXPIRATION DATE: 12/31/2006
RESPS:21,727 HOURS:1,086 COSTS(000):$0
Request for Accelerated Payment; Certifications Required from
Individuals Electing Accelerated Payments; and Agreement with
Educational Institution
FORMS: NONE
OMB NO: 2900-0646 EXPIRATION DATE: 01/31/2007
RESPS:181,723 HOURS:30,287 COSTS(000):$0
Medication Prescribed by Non-VA Physicians
FORMS: 10-0411
OMB NO: 2900-0648 EXPIRATION DATE: 10/31/2006
RESPS:19,920 HOURS:3,652 COSTS(000):$0
Claim Cover Sheet for Foreign Medical Program
FORMS: 10-7959F
OMB NO: 2900-0649 EXPIRATION DATE: 12/31/2006
RESPS:3,822 HOURS:1,808 COSTS(000):$0
VA Cooperative Study Project #500A, National Registry of
Veterans with Amyotrophic Lateral Sclerosis (ALS)
FORMS: 10-21047(NR) 10-21047A(NR) 10-1086
OMB NO: 2900-0652 EXPIRATION DATE: 11/30/2007
RESPS:50,000 HOURS:8,333 COSTS(000):$0
Request for Nursing Home Information in Connection with Claim
for Aid and Attendance
FORMS: 21-0779
OMB NO: 2900-0653 EXPIRATION DATE: 12/31/2007
RESPS:7,382 HOURS:1,760 COSTS(000):$0
Veterans Survey on Bio-Terrorism
FORMS: 10-21074(NR)
OMB NO: 2900-0654 EXPIRATION DATE: 12/31/2007
RESPS:14,000 HOURS:5,834 COSTS(000):$0
Annual Certification of Veteran Status and Veteran-Relatives
FORMS: 20-0344
OMB NO: 2900-0655 EXPIRATION DATE: 02/29/2008
RESPS:1,250 HOURS:417 COSTS(000):$0
Residency Verification Report-Veterans and Survivors
FORMS: 21-914
OMB NO: 2900-0657 EXPIRATION DATE: 09/30/2008
RESPS:150 HOURS:25 COSTS(000):$0
Conflicting Interests Certification for Proprietary Schools
FORMS: 22-1919
OMB NO: 2900-0658 EXPIRATION DATE: 07/31/2008
RESPS:1,000 HOURS:83 COSTS(000):$0
Lender Appraisal Processing Program Certification
FORMS: 26-0785
OMB NO: 2900-0659 EXPIRATION DATE: 07/31/2008
RESPS:15,240 HOURS:17,780 COSTS(000):$0
Statement in Support of Claim for Service Connection for
Post-Traumatic Stress Disorder (PTSD), Statement in Support of
Claim for Service Connection for Post-Traumatic Stress...
FORMS: 21-0781 21-0781A
OMB NO: 2900-0660 EXPIRATION DATE: 06/30/2008
RESPS:5,000 HOURS:1,250 COSTS(000):$0
Request for Contact Information
FORMS: 21-30
OMB NO: 2900-0661 EXPIRATION DATE: 07/31/2008
RESPS:60 HOURS:360 COSTS(000):$0
Forms and Regulatons for Grants to States for Construction and
Acquisition of State Home Facilities
FORMS: 10-0388
OMB NO: 2900-0662 EXPIRATION DATE: 06/30/2008
RESPS:183 HOURS:46 COSTS(000):$0
Civil Rights Discrimination Complaint
FORMS: 10-0381
OMB NO: 2900-0663 EXPIRATION DATE: 07/31/2008
RESPS:7,000 HOURS:1,167 COSTS(000):$0
Pay Now Enter Info Page
FORMS: NONE
OMB NO: 2900-0665 EXPIRATION DATE: 08/31/2008
RESPS:30,000 HOURS:10,000 COSTS(000):$0
Direct Deposit Enrollment/Change
FORMS: 29-0309
OMB NO: 2900-0666 EXPIRATION DATE: 08/31/2008
RESPS:25,000 HOURS:12,500 COSTS(000):$0
Information Regarding Apportionment of Beneficiary's Award
FORMS: 21-0788
OMB NO: 2900-0668 EXPIRATION DATE: 11/30/2008
RESPS:120 HOURS:30 COSTS(000):$0
Supplemental Income Questionnaire (For Philippine Claims Only)
FORMS: 21-0784
OMB NO: 2900-0669 EXPIRATION DATE: 03/31/2009
RESPS:13,501 HOURS:3,375 COSTS(000):$0
Claim for Credit of Annual Leave
FORMS: 0862
OMB NO: 2900-0670 EXPIRATION DATE: 01/31/2009
RESPS:7,500 HOURS:1,875 COSTS(000):$0
Fiduciary Statement in Support of Appointment
FORMS: 21-0792
OMB NO: 2900-0671 EXPIRATION DATE: 08/31/2006
RESPS:950 HOURS:475 COSTS(000):$0
Traumatic Injury Protection (TSGLI) Regulation
FORMS: NONE
OMB NO: 2900-0673 EXPIRATION DATE: 08/31/2006
RESPS:100,000 HOURS:8,333 COSTS(000):$0
Request for One-VA Identification Card
FORMS: 0711
OMB NO: 2900-0674 EXPIRATION DATE: 03/31/2009
RESPS:108,931 HOURS:108,931 COSTS(000):$0
Clarification of a Notice of Disagreement
FORMS: NONE
OMB NO: 2900-0675 EXPIRATION DATE: 03/31/2009
RESPS:6,000 HOURS:2,500 COSTS(000):$0
VetBiz Vendor Information Pages
FORMS: NONE
OMB NO: 2900-0676 EXPIRATION DATE: 04/30/2009
RESPS:1,000 HOURS:83 COSTS(000):$0
Department of Veterans Affairs (VA) National Acquisition Center
Customer Response Survey
FORMS: 0863
OMB NO: 2900-0677 EXPIRATION DATE: 05/31/2009
RESPS:1,200 HOURS:1,200 COSTS(000):$0
Contract for Training and Employment (Chapter 31, Title 38 U.S.
Code)
FORMS: 28-1903
OMB NO: 2900-0678 EXPIRATION DATE: 05/31/2009
RESPS:600 HOURS:150 COSTS(000):$0
Agreement to Train On The Job Disabled Veterans
FORMS: 28-1904
OMB NO: 2900-0679 EXPIRATION DATE: 06/30/2009
RESPS:120 HOURS:20 COSTS(000):$0
Certification of Change or Correction of Name
FORMS: 29-586
OMB NO: 2900-0680 EXPIRATION DATE: 10/31/2006
RESPS:24,739 HOURS:12,703 COSTS(000):$0
Veterans' Disability Benefits Commission Survey
FORMS: NONE
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
239 23,870,176 6,243,008 $0
Environmental Protection Agency
Policy Planning and Evaluation
OMB NO: 2010-0026 EXPIRATION DATE: 10/31/2007
RESPS:30 HOURS:888 COSTS(000):$0
Regulatory Pilot Projects (Renewal)
FORMS: ICR-1755.07
OMB NO: 2010-0032 EXPIRATION DATE: 08/31/2006
RESPS:277 HOURS:113,439 COSTS(000):$0
Implementation of Incentives Designed for EPA's National
Environ- mental Performance Track Program (Final Rule)
FORMS: 1949.03
OMB NO: 2010-0039 EXPIRATION DATE: 01/31/2008
RESPS:18,190 HOURS:2,871 COSTS(000):$0
Obtaining Feedback on Public Involvement Activities and Processes
FORMS: 2151.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
3 18,497 117,198 $0
Office of Enforcement and Compliance Assurance
OMB NO: 2020-0003 EXPIRATION DATE: 11/30/2006
RESPS:1,101 HOURS:6,521 COSTS(000):$0
Confidentiality Rules
FORMS: 1665.06
OMB NO: 2020-0007 EXPIRATION DATE: 12/31/2007
RESPS:22 HOURS:1,548 COSTS(000):$4
Environmental Impact Assessment of Nongovernmental Activities in
Antarctica (Renewal)
FORMS: 1808.04
OMB NO: 2020-0015 EXPIRATION DATE: 03/31/2008
RESPS:25,776 HOURS:3,973 COSTS(000):$0
Assessment of Compliance Assistance Projects (Renewal)
FORMS: 1860.03
OMB NO: 2020-0020 EXPIRATION DATE: 06/30/2008
RESPS:56 HOURS:4,480 COSTS(000):$0
Annual Public Water Systems Compliance Report (Renewal)
FORMS: 1812.03
OMB NO: 2020-0029 EXPIRATION DATE: 08/31/2007
RESPS:150 HOURS:225 COSTS(000):$0
Region 7 Lead Education and Awareness Project in St. Louis, MO.
FORMS: 2161.01
OMB NO: 2020-0031 EXPIRATION DATE: 11/30/2008
RESPS:13 HOURS:5,122 COSTS(000):$0
State Review Framework
FORMS: 2185.01
OMB NO: 2020-0032 EXPIRATION DATE: 11/30/2006
RESPS:3,600 HOURS:1,800 COSTS(000):$0
Tips and Complaints Regarding Environmental Violations
FORMS: 2219.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 30,718 23,669 $4
Office of Environmental Information
OMB NO: 2025-0003 EXPIRATION DATE: 11/30/2007
RESPS:220,826 HOURS:151,963 COSTS(000):$5,115
Cross-Media Electronic Reporting and Recordkeeping Rule (Final
Rule)
FORMS: 2002.03
OMB NO: 2025-0006 EXPIRATION DATE: 08/31/2006
RESPS:450 HOURS:450 COSTS(000):$0
Exchange Network Performance Survey
FORMS: 2207.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 221,276 152,413 $5,115
Administration and Resources Management
OMB NO: 2030-0005 EXPIRATION DATE: 04/30/2009
RESPS:4,356 HOURS:121,968 COSTS(000):$44
Monthly Progress Reports (Renewal)
FORMS: 1039.11
OMB NO: 2030-0006 EXPIRATION DATE: 07/31/2007
RESPS:981 HOURS:219,015 COSTS(000):$0
Invitation for Bids and Request for Proposals (IFBs and RFPs)
FORMS: 1038.11
OMB NO: 2030-0016 EXPIRATION DATE: 04/30/2009
RESPS:47 HOURS:32 COSTS(000):$1
Contractor Cumulative Claim and Reconciliation (Renewal)
FORMS: 0246.09 1900-10
OMB NO: 2030-0020 EXPIRATION DATE: 04/30/2009
RESPS:6,105 HOURS:108,887 COSTS(000):$0
General Administrative Requirements for Assistance Programs
(Renewal)
FORMS: 0938.11 4700-4 5700-53 5700-54 5770-2 5770-3 5770-4 5770-5
5770-7 5770-8
OMB NO: 2030-0023 EXPIRATION DATE: 07/31/2007
RESPS:80 HOURS:145,640 COSTS(000):$0
Conflict of Interest, Rule #1
FORMS: 1550.06
OMB NO: 2030-0043 EXPIRATION DATE: 12/31/2008
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Background Checks for Contractor Employees (Renewal)
FORMS: 2159.02
OMB NO: 2030-0044 EXPIRATION DATE: 12/31/2008
RESPS:450 HOURS:450 COSTS(000):$0
Drug Testing for Contractor Employees (Renewal)
FORMS: 2183.02
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
7 13,019 596,992 $45
Water
OMB NO: 2040-0004 EXPIRATION DATE: 09/30/2008
RESPS:583,987 HOURS:14,164,582 COSTS(000):$0
NPDES and Sewage Sludge Monitoring Reports (Renewal)
FORMS: 0229.16 3320-1
OMB NO: 2040-0009 EXPIRATION DATE: 09/30/2007
RESPS:103,148 HOURS:1,945,459 COSTS(000):$10
National Pretreatment Program: Streamlining Final Rule
FORMS: 0002.12
OMB NO: 2040-0027 EXPIRATION DATE: 11/30/2006
RESPS:147 HOURS:26,588 COSTS(000):$0
Construction Grants Program
FORMS: 0827.06
OMB NO: 2040-0042 EXPIRATION DATE: 04/30/2007
RESPS:478,189 HOURS:1,336,057 COSTS(000):$89,415
Information Collection Request for the Revision to Federal UIC
Requirements for Class I Municipal Wells in Flordia (Final Rule)
FORMS: 0370.20
OMB NO: 2040-0049 EXPIRATION DATE: 11/30/2008
RESPS:264 HOURS:260,714 COSTS(000):$0
Water Quality Standards Regulation (Renewal)
FORMS: 0988.09
OMB NO: 2040-0050 EXPIRATION DATE: 11/30/2008
RESPS:1,000 HOURS:1,550 COSTS(000):$0
Clean Watersheds Needs Survey (Renewal)
FORMS: 0318.10
OMB NO: 2040-0057 EXPIRATION DATE: 11/30/2006
RESPS:19,226 HOURS:966,966 COSTS(000):$0
NPDES and Sewage Sludge Management State Programs
FORMS: 0168.08
OMB NO: 2040-0068 EXPIRATION DATE: 11/30/2006
RESPS:13,137 HOURS:303,997 COSTS(000):$0
NPDES Modification and Variance Requests
FORMS: 0029.08
OMB NO: 2040-0071 EXPIRATION DATE: 09/30/2007
RESPS:59 HOURS:3,740,017 COSTS(000):$0
National Water Quality Inventory Reports (Clean Water Act
Sections 305(b), 303(d), 314(a) and 106(e))
FORMS: 1560.07
OMB NO: 2040-0086 EXPIRATION DATE: 09/30/2006
RESPS:291,898 HOURS:1,399,981 COSTS(000):$0
Applications for NPDES Discharge Permits and the Sewage Sludge
Management Permits
FORMS: 0226.17 3510-1 3510-2A 3510-2B 3510-2C 3510-2D 3510-2E 3510-2F
3510-2S 3510-6
OMB NO: 2040-0088 EXPIRATION DATE: 05/31/2009
RESPS:116 HOURS:61,377 COSTS(000):$0
Modification of Secondary Treatment Requirements for Discharges
into Marine Waters
FORMS: 0138.08
OMB NO: 2040-0090 EXPIRATION DATE: 09/30/2008
RESPS:499,506 HOURS:3,226,027 COSTS(000):$20,630
Public Water System Supervision Program (Renewal)
FORMS: 0270.42
OMB NO: 2040-0095 EXPIRATION DATE: 11/30/2006
RESPS:42 HOURS:2,071 COSTS(000):$0
Construction Grants Delegation to States
FORMS: 0909.07
OMB NO: 2040-0101 EXPIRATION DATE: 09/30/2007
RESPS:290 HOURS:2,030 COSTS(000):$0
Questionnaire for Nominees for the Annual National Clean Water
Act Recognition Awards Program
FORMS: 1287.07
OMB NO: 2040-0110 EXPIRATION DATE: 09/30/2007
RESPS:446,224 HOURS:1,809,580 COSTS(000):$0
NPDES Compliance Assessment/Certification Information (Renewal)
FORMS: 1427.07
OMB NO: 2040-0118 EXPIRATION DATE: 06/30/2008
RESPS:3,009 HOURS:339,405 COSTS(000):$0
Clean Water Act State Revolving Fund Program (Renewal)
FORMS: 1391.07
OMB NO: 2040-0138 EXPIRATION DATE: 11/30/2006
RESPS:65 HOURS:6,113 COSTS(000):$0
National Estuary Program
FORMS: ICR-1500.05
OMB NO: 2040-0153 EXPIRATION DATE: 10/31/2006
RESPS:22 HOURS:3,250 COSTS(000):$0
Approval of State Coastal Nonpoint Pollution Control Programs
(CZARA Section 6217)
FORMS: 1569.05
OMB NO: 2040-0164 EXPIRATION DATE: 11/30/2006
RESPS:136 HOURS:389 COSTS(000):$0
Reporting Requirements under EPA's Water Alliances for Voluntary
Efficiency (WAVE) Program
FORMS: 1654.04
OMB NO: 2040-0168 EXPIRATION DATE: 11/30/2006
RESPS:20,006 HOURS:101,360 COSTS(000):$0
Clean Water Act Section 404 State-Assumed Programs
FORMS: 0220.09
OMB NO: 2040-0170 EXPIRATION DATE: 09/30/2008
RESPS:1,286 HOURS:400,542 COSTS(000):$156
Combined Sewer Overflow Control Policy (Renewal)
FORMS: 1680.04
OMB NO: 2040-0180 EXPIRATION DATE: 08/31/2006
RESPS:1,257 HOURS:122,863 COSTS(000):$0
National Pollutant Discharge Elimination System Great Lakes
Water Quality Guidance
FORMS: 1639.04
OMB NO: 2040-0185 EXPIRATION DATE: 11/30/2006
RESPS:1,428 HOURS:194,935 COSTS(000):$0
Drinking Water State Revolving Fund Program
FORMS: 1803.04
OMB NO: 2040-0187 EXPIRATION DATE: 06/30/2008
RESPS:16 HOURS:2,207 COSTS(000):$2
Establishing No-Discharge Zones (NDZs) Under Clean Water Act
Section 312(Renewal)
FORMS: 1791.04
OMB NO: 2040-0188 EXPIRATION DATE: 09/30/2006
RESPS:201,259 HOURS:7,920,245 COSTS(000):$0
Notice of Intent for Storm Water Discharges Associatd with
Construction Activity under a NPDES General Permit
FORMS: ICR-1842.04 3510-9
OMB NO: 2040-0189 EXPIRATION DATE: 11/30/2006
RESPS:130 HOURS:312 COSTS(000):$1
National Health Protection Survey of Beaches
FORMS: 1814.03
OMB NO: 2040-0197 EXPIRATION DATE: 06/30/2008
RESPS:52 HOURS:150,931 COSTS(000):$1,523
EPA Strategic Plan Information on Source Water Assessment and
Protection (Renewal)
FORMS: 1816.03
OMB NO: 2040-0202 EXPIRATION DATE: 11/30/2008
RESPS:29 HOURS:1,418 COSTS(000):$0
Milestones Plans for the Bleached Papergrad Kraft and Soda Sub-
category of the Pulp, Paper and Paperboard Manufacturing Category
FORMS: 1877.03
OMB NO: 2040-0204 EXPIRATION DATE: 06/30/2008
RESPS:17,570,596 HOURS:6,427,048 COSTS(000):$194,768
Disinfectants/Disinfection Byproducts, Chemical and Radionu-
clides Rule (Renewal)
FORMS: 1896.05
OMB NO: 2040-0205 EXPIRATION DATE: 09/30/2008
RESPS:11,263,556 HOURS:8,624,865 COSTS(000):$96,939
Microbial Rules (Renewal)
FORMS: 1895.03
OMB NO: 2040-0207 EXPIRATION DATE: 11/30/2008
RESPS:128 HOURS:60,262 COSTS(000):$0
Best management Practices (BMP) for the Bleached Papergrade
Kraft and Soda Subcategory and the Papergrade Kraft Sulfite Sub-
category of the Pulp, Paper and Paperboard Point Source Category.
FORMS: 1829.03
OMB NO: 2040-0211 EXPIRATION DATE: 09/30/2006
RESPS:205,862 HOURS:4,958,353 COSTS(000):$0
NPDES Storm Water Program Phase II
FORMS: 1820.03
OMB NO: 2040-0226 EXPIRATION DATE: 09/30/2007
RESPS:92 HOURS:3,565 COSTS(000):$1
National Listing of Advisories
FORMS: 1959.02
OMB NO: 2040-0235 EXPIRATION DATE: 06/30/2008
RESPS:183 HOURS:17,869 COSTS(000):$0
Pollution Prevention Compliance Alternative; Transportation
Equipment Cleaning (TEC) Point Source Category (Renewal)
FORMS: 2018.02
OMB NO: 2040-0238 EXPIRATION DATE: 06/30/2008
RESPS:138 HOURS:322 COSTS(000):$0
National Wastewater Operator Training and Technical Assistance
Program - CWA 104(g)(1)(Renewal)
FORMS: 1977.02
OMB NO: 2040-0239 EXPIRATION DATE: 09/30/2008
RESPS:88 HOURS:7,245 COSTS(000):$0
Baseline Standards and Best Management Practices for the Coal
Mining Point Source Category - Coal Remining Subcategory and
Western Alkaline Coal Mining Subcategory (Renewal)
FORMS: 1944.03
OMB NO: 2040-0241 EXPIRATION DATE: 06/30/2008
RESPS:373 HOURS:76,268 COSTS(000):$1,942
Cooling Water Intake Structures - New Facility (Renewal)
FORMS: 1973.03
OMB NO: 2040-0242 EXPIRATION DATE: 10/31/2008
RESPS:80 HOURS:480 COSTS(000):$0
Certification in Lieu of Chloroform Minimum Monitoring Require-
ments for Direct and Indirect Discharging Mills in the Bleached
Papergrade Kraft and Soda Subcategory of the Pulp, Paper and ....
FORMS: 2015.02
OMB NO: 2040-0243 EXPIRATION DATE: 11/30/2008
RESPS:104 HOURS:37,544 COSTS(000):$13,819
Minimum Monitoring Requirements for Direct and Indirect
Discharg- ing Mills in the Bleached Papergrade Kraft and Soda
Subcategory and the Papergrade Sulfite Subcategory of the Point
Source ...
FORMS: 1878.02
OMB NO: 2040-0244 EXPIRATION DATE: 11/30/2008
RESPS:40 HOURS:94,947 COSTS(000):$3,750
BEACH Act Grant Program (Renewal)
FORMS: 2048.02
OMB NO: 2040-0246 EXPIRATION DATE: 05/31/2009
RESPS:65 HOURS:3,980 COSTS(000):$109
Laboratory Quality Assurance Evalution Program for Analysis of
Cryptosporidum Under the Safe Drinking Water Act
FORMS: 2067.03
OMB NO: 2040-0250 EXPIRATION DATE: 08/31/2006
RESPS:100,879 HOURS:1,890,000 COSTS(000):$7,900
Final NPDES and ELG Regulatory Revision for Concentrated Animal
Feeding Operations
FORMS: 1989.02
OMB NO: 2040-0253 EXPIRATION DATE: 09/30/2007
RESPS:22,499 HOURS:2,913,929 COSTS(000):$82
Title IV of the Public Health Security and Bioterrorism Pre-
paredness and Response Act of 2002: Drinking Water Security and
Safety
FORMS: 2103.02
OMB NO: 2040-0257 EXPIRATION DATE: 02/28/2007
RESPS:2,699 HOURS:1,700,392 COSTS(000):$20,999
Cooling Water Intake Structures Phase II Existing Facility
(Final Rule)
FORMS: 2060.02
OMB NO: 2040-0258 EXPIRATION DATE: 09/30/2007
RESPS:88 HOURS:45,000 COSTS(000):$0
Concentrated Aquatic Animal Production Effluent Guidelines
(Final Rule)
FORMS: 2087.02
OMB NO: 2040-0260 EXPIRATION DATE: 06/30/2008
RESPS:30 HOURS:1,270 COSTS(000):$1
Survey Questionnaire to Determine the Effectiveness, Costs, and
Impacts of Sewage and Graywater Treatment Devices for Large
Cruise Ships Operating in Alaska.
FORMS: 2133.01 7500-64
OMB NO: 2040-0265 EXPIRATION DATE: 12/31/2008
RESPS:51,171 HOURS:228,529 COSTS(000):$9,800
The National Primary Drinking Water Regulations; Stage 2 Dis-
infectants and Disinfection Byproducts Rule (Final Rule)
FORMS: 2068.02
OMB NO: 2040-0266 EXPIRATION DATE: 10/31/2008
RESPS:226,029 HOURS:141,295 COSTS(000):$7,016
The National Primary Drinking Water Regulations; Long Term 2
Enhanced Surface Water Treatment Rule (Final Rule)
FORMS: 2097.02
OMB NO: 2040-0267 EXPIRATION DATE: 01/31/2009
RESPS:763 HOURS:39,496 COSTS(000):$8
Survey of Airport Deicing Operations
FORMS: 2171.01
OMB NO: 2040-0268 EXPIRATION DATE: 05/31/2009
RESPS:22 HOURS:11,238 COSTS(000):$576
Cooling Water Intake Structures at Phase III Facilities (Final
Rule)
FORMS: 2169.02
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
50 32,111,413 65,774,863 $469,447
Solid Waste and Emergency Response
OMB NO: 2050-0009 EXPIRATION DATE: 08/31/2006
RESPS:74 HOURS:12,209 COSTS(000):$2,468
Part B Permit Application, Permit Modifications and Special
Permits (Renewal)
FORMS: 1573.10
OMB NO: 2050-0021 EXPIRATION DATE: 06/30/2009
RESPS:623,288 HOURS:2,385,701 COSTS(000):$51,759
Spill Prevention, Control and Countermeasure (SPCC) Plans
(Renewal)
FORMS: 0328.11
OMB NO: 2050-0024 EXPIRATION DATE: 10/31/2007
RESPS:569,273 HOURS:165,252 COSTS(000):$30
2005 Hazardous Waste Report (Renewal)
FORMS: 0976.12 8700-13A/B
OMB NO: 2050-0028 EXPIRATION DATE: 06/30/2009
RESPS:55,915 HOURS:100,307 COSTS(000):$235
Notification of Regulated Waste Activity (Renewal)
FORMS: 0261.15 8700-12
OMB NO: 2050-0033 EXPIRATION DATE: 05/31/2008
RESPS:824 HOURS:95,197 COSTS(000):$17,302
Facility Ground-Water Monioring Requirements (Renewal)
FORMS: 0959.12
OMB NO: 2050-0034 EXPIRATION DATE: 01/31/2009
RESPS:34 HOURS:402 COSTS(000):$1
RCRA Hazardous Waste Permit Application and Modification, Part A
(Renewal)
FORMS: ICR-0262.11 8700-23
OMB NO: 2050-0035 EXPIRATION DATE: 01/31/2008
RESPS:124,382 HOURS:453,083 COSTS(000):$55
Hazardous Waste Generator Standards (Renewal)
FORMS: 0820.09
OMB NO: 2050-0039 EXPIRATION DATE: 05/31/2008
RESPS:1,762,276 HOURS:3,264,991 COSTS(000):$2,660
Requirements for Generators, Transporters, and Waste Management
Facilities under the RCRA Hazardous Waste Manifest System (Final
Rule)
FORMS: 0801.15 8700-22 8700-22A
OMB NO: 2050-0041 EXPIRATION DATE: 09/30/2008
RESPS:50 HOURS:19,968 COSTS(000):$0
Final Authorization for Hazardous Waste Management
FORMS: 0969.07
OMB NO: 2050-0046 EXPIRATION DATE: 10/31/2007
RESPS:24,082 HOURS:98,736 COSTS(000):$0
Notification of Episodic Releases of Oil and Hazardous
Substances (Renewal)
FORMS: 1049.10
OMB NO: 2050-0050 EXPIRATION DATE: 10/31/2007
RESPS:8,170 HOURS:668,574 COSTS(000):$4,384
Hazardous Waste Specific Unit Requirements and Special Waste
Processes and Types (Renewal)
FORMS: 1572.06
OMB NO: 2050-0053 EXPIRATION DATE: 01/31/2008
RESPS:37,690 HOURS:75,929 COSTS(000):$8,932
Identification, Listing and Rulemaking Petitions (Final Rule for
Wastewater Treatment Exemptions for Hazardous Waste Mixtures)
FORMS: ICR-1189.17
OMB NO: 2050-0062 EXPIRATION DATE: 12/31/2006
RESPS:1 HOURS:3,168 COSTS(000):$0
Land Disposal Restrictions No-Migration Variances
FORMS: 1353.07
OMB NO: 2050-0068 EXPIRATION DATE: 01/31/2008
RESPS:500,000 HOURS:6,132,237 COSTS(000):$343,507
Underground Storage Tanks: Technical and Financial Requirements,
and State program Approval Procedures (Renewal)
FORMS: 1360.07 7530-1
OMB NO: 2050-0072 EXPIRATION DATE: 01/31/2008
RESPS:563,500 HOURS:2,028,700 COSTS(000):$6,390
Community Right-to-Know Reporting Requirements Under Sections
311 and 312 of the Emergency Planning and Community
Right-to-Know Act (EPCRA)(Renewal)
FORMS: 1352.10 8700-29 8700-30
OMB NO: 2050-0073 EXPIRATION DATE: 02/28/2009
RESPS:1,969 HOURS:238,785 COSTS(000):$27,059
Information Requirements for Boilers and Industrial Furnances:
General Hazardous Waste Facility Standards, Specific Unit
Requirements, and Part B Permit Application and Modifications ...
FORMS: 1361.10
OMB NO: 2050-0077 EXPIRATION DATE: 02/29/2008
RESPS:200 HOURS:1,800 COSTS(000):$0
Application for Reimbursement to Local Governments for Emergency
Response to Hazardous Substance Releases Under CERCLA section
123 (Renewal)
FORMS: 1425.06 9310-1
OMB NO: 2050-0078 EXPIRATION DATE: 10/31/2006
RESPS:357 HOURS:3,483 COSTS(000):$0
Trade Secret Claims for Emergency Planning and Community Right-
to-Know (EPCRA Section 322)
FORMS: 1428.06 9510-1
OMB NO: 2050-0085 EXPIRATION DATE: 08/31/2007
RESPS:142,008 HOURS:822,994 COSTS(000):$61,442
Land Disposal Restrictions (Renewal)
FORMS: 1442.18
OMB NO: 2050-0086 EXPIRATION DATE: 02/29/2008
RESPS:25,657 HOURS:284,154 COSTS(000):$86
Continuous Release Reporting Regulations (CRRR) under CERCLA
1980 (Renewal).
FORMS: 1445.06
OMB NO: 2050-0092 EXPIRATION DATE: 05/31/2009
RESPS:84,815 HOURS:183,347 COSTS(000):$27
Emergency Planning and Release Notification Requirements under
Emergency Planning and Community Right-to-Know Act Sections 302,
303, and 304 (Renewal)
FORMS: 1395.06
OMB NO: 2050-0095 EXPIRATION DATE: 02/29/2008
RESPS:905 HOURS:150,285 COSTS(000):$0
Superfund Site Evaluation and Hazard Ranking System (Renewal)
FORMS: 1488.06
OMB NO: 2050-0096 EXPIRATION DATE: 01/31/2008
RESPS:8,498 HOURS:71,165 COSTS(000):$850
National Oil and Hazardous Substances Pollution Contingency Plan
(NCP)(Renewal)
FORMS: 1463.06
OMB NO: 2050-0105 EXPIRATION DATE: 03/31/2009
RESPS:24,000 HOURS:255,427 COSTS(000):$0
EPA Worker Protection Standards for Hazardous Waste Operations
and Emergency Response (Renewal)
FORMS: 1426.07
OMB NO: 2050-0120 EXPIRATION DATE: 06/30/2009
RESPS:1,531 HOURS:652,312 COSTS(000):$642
General Hazardous Waste Facility Standards (Renewal)
FORMS: 1571.08
OMB NO: 2050-0122 EXPIRATION DATE: 11/30/2006
RESPS:1,900 HOURS:191,028 COSTS(000):$2,211
Recordkeeping and Reporting Requirements for 40 CFR Part 258 -
Solid Waste Disposal Facilities and Practices
FORMS: 1381.07
OMB NO: 2050-0124 EXPIRATION DATE: 03/31/2009
RESPS:1,640 HOURS:460,286 COSTS(000):$10,011
Used Oil Management Standards Recordkeeping and Reporting
Requirements (Renewal)
FORMS: 1286.07
OMB NO: 2050-0135 EXPIRATION DATE: 11/30/2007
RESPS:10,644 HOURS:634,994 COSTS(000):$21
Oil Pollution Act Facility Response Plan Requirements (40 CFR
Part 112)(Renewal)
FORMS: 1630.08
OMB NO: 2050-0139 EXPIRATION DATE: 04/30/2007
RESPS:1,625 HOURS:56,700 COSTS(000):$0
Reporting and Recordkeeping Requirements Under EPA's Waste Wise
Program (Renewal)
FORMS: 1698.06
OMB NO: 2050-0141 EXPIRATION DATE: 06/30/2007
RESPS:14 HOURS:390 COSTS(000):$83
National Oil and Hazardous Substances Pollution Contingency
Plan, Subpart J
FORMS: 1664.05
OMB NO: 2050-0144 EXPIRATION DATE: 01/31/2009
RESPS:4,191 HOURS:98,599 COSTS(000):$7
Risk Management Program Requirements and Petitions to Modify the
List of Regulated Substances under Section 112(r) of the Clean
Air Act
FORMS: 1656.12
OMB NO: 2050-0145 EXPIRATION DATE: 02/29/2008
RESPS:124,702 HOURS:193,234 COSTS(000):$4
Requirements and Exemptions for Specific RCRA Wastes (Final Rule
for Adding Mercury-Containing Equipment to the Universal Waste
Rule)
FORMS: 1597.07
OMB NO: 2050-0149 EXPIRATION DATE: 10/31/2008
RESPS:33 HOURS:3,005 COSTS(000):$4
RCRA Expanded Public Participating (Renewal)
FORMS: 1688.05
OMB NO: 2050-0152 EXPIRATION DATE: 09/30/2008
RESPS:4 HOURS:968 COSTS(000):$0
State program Adequacy Determination: Municipal Solid Waste
Landfills (MSWLFs) and Non-municipal, Non-hazardous Waste
Disposal Units that Receive Conditionally Exempt Small ...
FORMS: 1608.04
OMB NO: 2050-0154 EXPIRATION DATE: 01/31/2009
RESPS:183 HOURS:13,581 COSTS(000):$1,578
Criteria for Classificatoin of Solid Waste Disposal Facilities
and Practices (Renewal)
FORMS: 1745.05
OMB NO: 2050-0161 EXPIRATION DATE: 01/31/2009
RESPS:176 HOURS:4,944 COSTS(000):$26
Hazardous Remediation Waste Management Requirements (HWIR-Media)
(Renewal)
FORMS: 1775.04
OMB NO: 2050-0171 EXPIRATION DATE: 09/30/2008
RESPS:3,975 HOURS:201,527 COSTS(000):$5,267
NESHAP for Hazardous Waste Combustors (40 CFR part 63, subpart
EEE) (Final Phase 1 Rule)
FORMS: 1773.08
OMB NO: 2050-0172 EXPIRATION DATE: 12/31/2006
RESPS:4,417 HOURS:15,840 COSTS(000):$1
Distribution of Off-site Consequence Analysis Information under
Section 112(r)(7)(H) of the Clean Air Act (CAA)
FORMS: 1981.02
OMB NO: 2050-0179 EXPIRATION DATE: 02/29/2008
RESPS:581 HOURS:6,063 COSTS(000):$0
Cooperative Agreements and Superfund State Contracts for
Superfund Response Actions (Renewal)
FORMS: 1487.08
OMB NO: 2050-0182 EXPIRATION DATE: 08/31/2008
RESPS:175 HOURS:14,437 COSTS(000):$588
Standardized Permit for RCRA Hazardous Waste Management
Facilities (Final Rule)
FORMS: 1935.02
OMB NO: 2050-0190 EXPIRATION DATE: 05/31/2009
RESPS:163 HOURS:642 COSTS(000):$0
Reporting Requirements Under EPA's National Partnership for
Environmental Priorities (Renewal)
FORMS: 2076.02 6200-01 6200-02
OMB NO: 2050-0192 EXPIRATION DATE: 07/31/2009
RESPS:6,101 HOURS:8,683 COSTS(000):$0
Brownfields Programs - Revitalization Grantee Reporting (Renewal)
FORMS: 2104.02 6200-03 6200-04
OMB NO: 2050-0194 EXPIRATION DATE: 05/31/2008
RESPS:70 HOURS:1,050 COSTS(000):$1
Technology Performance and Product Information to Support Vendor
Information Summaries (Renewal)
FORMS: 2154.02
OMB NO: 2050-0197 EXPIRATION DATE: 09/30/2008
RESPS:271,669 HOURS:546,179 COSTS(000):$880
Standards and Practices for All Appropriate Inquires (Final Rule)
FORMS: 2144.02
OMB NO: 2050-0198 EXPIRATION DATE: 02/28/2007
RESPS:1,500 HOURS:750 COSTS(000):$0
CAMEO Software Usability Evaluation Survey
FORMS: 2132.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
45 4,993,262 20,621,106 $548,511
Air and Radiation
OMB NO: 2060-0001 EXPIRATION DATE: 08/31/2006
RESPS:123 HOURS:4,642 COSTS(000):$97
NSPS for Beverage Can Surface Coating - 40 CFR Part 60, Subpart
WW
FORMS: 0663.08
OMB NO: 2060-0002 EXPIRATION DATE: 01/31/2008
RESPS:519 HOURS:30,419 COSTS(000):$6,045
NSPS for Asphalt Processing and Roofing Manufacture (40 CFR part
60, subpart UU) (Renewal)
FORMS: 0661.08
OMB NO: 2060-0003 EXPIRATION DATE: 01/31/2008
RESPS:150,723 HOURS:5,851,126 COSTS(000):$8,613
Prevention of Significant Deterioration Non-Attainment Area new
Sources Review (Renewal)
FORMS: 1230.17
OMB NO: 2060-0004 EXPIRATION DATE: 02/28/2007
RESPS:132 HOURS:3,224 COSTS(000):$574
NSPS for Pressure Sensitive Tape and Label Surface Coating (40
CFR Part 60, Subpart RR)
FORMS: 0658.08
OMB NO: 2060-0006 EXPIRATION DATE: 01/31/2009
RESPS:40 HOURS:13,168 COSTS(000):$0
NSPS for Bulk Gasoline Terminals (40 CFR Part 60, subpart XX)
(Renewal)
FORMS: 0664.08
OMB NO: 2060-0015 EXPIRATION DATE: 02/28/2007
RESPS:22,846 HOURS:5,727 COSTS(000):$0
Environmental Radiation Ambient Monitoring System (ERAMS)
FORMS: 0877.08 7600-8 7600-10
OMB NO: 2060-0016 EXPIRATION DATE: 11/30/2008
RESPS:44 HOURS:2,306 COSTS(000):$13
NSPS for Metallic Mineral Processing Plants (40 CFR part 60,
subpart LL) (Renewal)
FORMS: 0982.08
OMB NO: 2060-0019 EXPIRATION DATE: 04/30/2007
RESPS:51 HOURS:1,290 COSTS(000):$2,468
NSPS for Nitric Acid Plants (40 CFR Part 60, Subpart G)
FORMS: 1056.08
OMB NO: 2060-0021 EXPIRATION DATE: 05/31/2009
RESPS:415 HOURS:15,235 COSTS(000):$3,965
NSPS for Kraft Pulp Mills (40 CFR Part 60, Subpart BB)(Renewal)
FORMS: 1055.8
OMB NO: 2060-0022 EXPIRATION DATE: 11/30/2008
RESPS:285 HOURS:14,134 COSTS(000):$541
NSPS for Petroleum Refineries (40 CFR part 60, Subpart J)
(Renewal)
FORMS: 1054.09
OMB NO: 2060-0023 EXPIRATION DATE: 08/31/2006
RESPS:1,572 HOURS:133,553 COSTS(000):$11,860
NSPS Subpart Da - Standards of Performance for Electric Utility
Steam Generating Units
FORMS: 1053.07
OMB NO: 2060-0025 EXPIRATION DATE: 01/31/2008
RESPS:248 HOURS:13,806 COSTS(000):$533
NSPS for Portland Cement Plants (40 CFR part 60, subpart F)
(Renewal)
FORMS: 1051.09
OMB NO: 2060-0026 EXPIRATION DATE: 11/30/2006
RESPS:1,320 HOURS:61,545 COSTS(000):$9,900
NSPS Subpart D, Standards of Performance for Fossil-Fuel-Fired
Steam Generating Units
FORMS: 1052.07
OMB NO: 2060-0028 EXPIRATION DATE: 08/31/2007
RESPS:1,070 HOURS:59,519 COSTS(000):$0
NSPS for Stationary Gas Turbines (40 CFR Part 60, Subpart GG)
(Renewal)
FORMS: 1071.08
OMB NO: 2060-0029 EXPIRATION DATE: 11/30/2008
RESPS:12 HOURS:1,896 COSTS(000):$26
NSPS for Primary and Secondary Emissions from Basic Oxygen
Furnaces (40 CFR Part 60, Subparts N and Na)(Renewal)
FORMS: 1069.08
OMB NO: 2060-0032 EXPIRATION DATE: 02/28/2007
RESPS:8 HOURS:246 COSTS(000):$0
NSPS for Ammonium Sulfate Manufacture (40 CFR part 40, subpart
PP)
FORMS: 1066.04
OMB NO: 2060-0034 EXPIRATION DATE: 02/28/2007
RESPS:210 HOURS:156,362 COSTS(000):$93
NSPS for Automobile and Light Duty Truck Surface Coating
Operations (40 CFR Part 60, Subpart MM)
FORMS: 1064.10
OMB NO: 2060-0035 EXPIRATION DATE: 09/30/2007
RESPS:113 HOURS:6,214 COSTS(000):$1,990
NSPS for Sewage Sludge Treatment Plants (40 CFR part 60, sub-
part O)(Renewal)
FORMS: 1063.09
OMB NO: 2060-0037 EXPIRATION DATE: 11/30/2006
RESPS:26 HOURS:1,194 COSTS(000):$320
NSPS for the Phosphate Fertilizer Industry (40 CFR Part 60, Sub-
parts T, U, V, W, and X)
FORMS: 1061.09
OMB NO: 2060-0038 EXPIRATION DATE: 11/30/2006
RESPS:192 HOURS:60,400 COSTS(000):$290
NSPS for Steel Plants: Electric Are Furnaces and Argon-Oxygen
Decarburization Vessels (40 CFR Part 60, Subparts AA and AAa)
(Final Rule Amendments)
FORMS: 1060.13
OMB NO: 2060-0040 EXPIRATION DATE: 09/30/2007
RESPS:164 HOURS:8,393 COSTS(000):$205
NSPS for Incinerators (40 CFR Part 60, subpart E)(Renewal)
FORMS: 1058.08
OMB NO: 2060-0041 EXPIRATION DATE: 10/31/2008
RESPS:206 HOURS:26,177 COSTS(000):$464
NSPS for Sulfuric Acid Plants (40 CFR part 60, Subpart H)
(Renewal)
FORMS: 1057.10
OMB NO: 2060-0043 EXPIRATION DATE: 01/31/2009
RESPS:63 HOURS:3,098 COSTS(000):$56
NESHAP for Inorganic Arsenic Emissions from Glass Manufacturing
Plants (40 CFR Part 61, Subpart N)(Renewal)
FORMS: 1081.08
OMB NO: 2060-0048 EXPIRATION DATE: 03/31/2007
RESPS:30 HOURS:4,417 COSTS(000):$1
Emission Defect Information Reports and Voluntary Emission
Recall Reports (Renewal)
FORMS: 0282.13
OMB NO: 2060-0050 EXPIRATION DATE: 11/30/2006
RESPS:5,585 HOURS:31,026 COSTS(000):$0
NSPS for Nonmetallic Mineral Processing (40 CFR Part 60, Subpart
OOO)
FORMS: 1084.07
OMB NO: 2060-0054 EXPIRATION DATE: 11/30/2008
RESPS:103 HOURS:803 COSTS(000):$238
NSPS for Glass Manufacturing Plants (40 CFR Part 60 Subpart CC)
(Renewal)
FORMS: 1131.08
OMB NO: 2060-0059 EXPIRATION DATE: 08/31/2006
RESPS:63 HOURS:1,838 COSTS(000):$188
NSPS for Synthetic Fiber Production Facility (40 CFR part 60,
subpart HHH)
FORMS: 1156.09
OMB NO: 2060-0060 EXPIRATION DATE: 05/31/2007
RESPS:1 HOURS:258 COSTS(000):$1
Emission Control System Performance Warranty Regulations and
Voluntary Aftermarket Part Certification Program (Renewal)
FORMS: 0116.07
OMB NO: 2060-0063 EXPIRATION DATE: 04/30/2009
RESPS:82 HOURS:3,773 COSTS(000):$62
NSPS for Lime Manufacturing (40 CFR part 60, subpart HH)(Renewal)
FORMS: 1167.08
OMB NO: 2060-0067 EXPIRATION DATE: 02/28/2009
RESPS:296 HOURS:21,360 COSTS(000):$0
NSPS for Equipment Leaks of VOC in Petroleum Refineries (40 CFR
Part 60, Subpart GGG)(Renewal)
FORMS: 0983.08
OMB NO: 2060-0071 EXPIRATION DATE: 04/30/2008
RESPS:196 HOURS:11,825 COSTS(000):$1,260
NESHAP for Vinyl Chloride (40 CFR part 61, subpart F) (Renewal)
FORMS: 0186.10
OMB NO: 2060-0072 EXPIRATION DATE: 11/30/2006
RESPS:2,952 HOURS:591,389 COSTS(000):$26,775
NSPS for Industrial-Commercial-Institutional Steam Generating
Units (40 CFR Part 60, Subpart Db)
FORMS: 1088.10
OMB NO: 2060-0073 EXPIRATION DATE: 02/28/2007
RESPS:41 HOURS:593 COSTS(000):$61
NSPS for Flexible Vinyl and Urethane Coating and Printing (40
CFR part 60, subpart FFF)
FORMS: 1157.07
OMB NO: 2060-0078 EXPIRATION DATE: 11/30/2008
RESPS:1,285 HOURS:1,327 COSTS(000):$0
Highway Vehicle Activity and Emissions (Renewal)
FORMS: 0619.10
OMB NO: 2060-0079 EXPIRATION DATE: 08/31/2006
RESPS:93 HOURS:1,483 COSTS(000):$0
NSPS for Petroleum Dry Cleaners (40 CFR Part 60, Subpart JJJ)
FORMS: 0997.07
OMB NO: 2060-0080 EXPIRATION DATE: 11/30/2006
RESPS:25 HOURS:38 COSTS(000):$0
NSPS for Secondary Lead Smelters (40 CFR Part 60, Subpart L)
FORMS: 1128.07
OMB NO: 2060-0081 EXPIRATION DATE: 03/31/2007
RESPS:65 HOURS:4,053 COSTS(000):$12
NSPS for Lead-Acid Battery Manufacturing (40 CFR part 60, sub-
part KK) (Renewal)
FORMS: 1072.07
OMB NO: 2060-0082 EXPIRATION DATE: 03/31/2009
RESPS:200 HOURS:2,070 COSTS(000):$0
NSPS for Grain Elevators (40 CFR Part 60, Subpart DD)(Renewal)
FORMS: 1130.08
OMB NO: 2060-0083 EXPIRATION DATE: 04/30/2009
RESPS:4,843 HOURS:17,318 COSTS(000):$0
NSPS for Hot Mix Asphalt Facilities (40 CFR Part 60, Subpart I)
(Renewal)
FORMS: 1127.08
OMB NO: 2060-0084 EXPIRATION DATE: 08/31/2006
RESPS:520 HOURS:2,404,606 COSTS(000):$81,327
Ambient Air Quality Surveillance (Renewal)
FORMS: 0940.17
OMB NO: 2060-0086 EXPIRATION DATE: 09/30/2007
RESPS:1,800 HOURS:600 COSTS(000):$0
Investigation into Possible Noncompliance of Motor Vehicles with
Federal Emissions Standards
FORMS: 0222.07
OMB NO: 2060-0088 EXPIRATION DATE: 08/31/2006
RESPS:2,038 HOURS:112,851 COSTS(000):$231
Final Consolidated Emissions Reporting Rule
FORMS: 0916.10
OMB NO: 2060-0092 EXPIRATION DATE: 12/31/2007
RESPS:166 HOURS:2,627 COSTS(000):$35
NESHAP for Beryllium (40 CFR Part 61, Subpart C)(Renewal)
FORMS: 0193.08
OMB NO: 2060-0095 EXPIRATION DATE: 03/31/2007
RESPS:11,200 HOURS:15,800 COSTS(000):$1,266
Information Requirements for Importation of Nonconforming
Vehicles
FORMS: 0010.10 3520-1 3520-8
OMB NO: 2060-0096 EXPIRATION DATE: 06/30/2008
RESPS:558 HOURS:98,183 COSTS(000):$0
Source Compliance and State Action Reporting (Renewal)
FORMS: 0107.08
OMB NO: 2060-0097 EXPIRATION DATE: 08/31/2006
RESPS:114 HOURS:17,818 COSTS(000):$0
NESHAP for Mercury (40 CFR Part 61, Subpart E)
FORMS: ICR-0113.08
OMB NO: 2060-0101 EXPIRATION DATE: 04/30/2009
RESPS:121,968 HOURS:229,381 COSTS(000):$0
NESHAP for Asbestos (40 CFR Part 61, Subpart M)(Renewal)
FORMS: 0111.11
OMB NO: 2060-0104 EXPIRATION DATE: 11/30/2008
RESPS:16,290 HOURS:647,176 COSTS(000):$11,335
Motor Vehicle Emission and Fuel Economy Compliance: Light Duty
Vehicles, Light Duty Trucks, and Highway Motorcycles (Renewal)
FORMS: 0783.47
OMB NO: 2060-0105 EXPIRATION DATE: 09/30/2007
RESPS:47 HOURS:1,718 COSTS(000):$0
NSPS for the Graphic Arts Industry (40 CFR Part 60, Subpart QQ)
( Renewal)
FORMS: EPAICR0657.08
OMB NO: 2060-0106 EXPIRATION DATE: 08/31/2006
RESPS:1,110 HOURS:73,181 COSTS(000):$837
NSPS for Metal Furniture Coating - Subpart EE
FORMS: 0649.08
OMB NO: 2060-0107 EXPIRATION DATE: 02/28/2009
RESPS:379 HOURS:15,643 COSTS(000):$332
NSPS for Metal Coil Surface Coating (40 CFR Part 60, Subpart TT)
(Renewal)
FORMS: 0660.09
OMB NO: 2060-0108 EXPIRATION DATE: 08/31/2006
RESPS:1,044 HOURS:6,288 COSTS(000):$5
NSPS for Surface Coating of Large Applicances (40 CFR Part 60,
Subpart SS)
FORMS: 0659.09
OMB NO: 2060-0110 EXPIRATION DATE: 07/31/2007
RESPS:29 HOURS:4,914 COSTS(000):$132
NSPS for Secondary Brass and Bronze Production, Primary Copper
Smelters, Primary Zinc Smelters, Primary Lead Smelters, Primary
Aluminum Reduction Plants and Ferroalloy Production Facilities...
FORMS: 1604.07
OMB NO: 2060-0111 EXPIRATION DATE: 11/30/2007
RESPS:29 HOURS:1,602 COSTS(000):$124
NSPS for Phosphate Rock Plants (40 CFR Part 60, Subpart NN)
(Renewal)
FORMS: 1078.07
OMB NO: 2060-0114 EXPIRATION DATE: 02/28/2007
RESPS:180 HOURS:18,216 COSTS(000):$489
NSPS for Wool Fiberglass Insulation Manufacturing Plants (40 CFR
Part 60, Subpart PPP) and NESHAP for Wool Fiberglass Manufactur-
ing plants (40 CFR Part 63, Subpart NNN)
FORMS: 1160.07
OMB NO: 2060-0120 EXPIRATION DATE: 12/31/2007
RESPS:1,643 HOURS:149,174 COSTS(000):$339
NSPS for Onshore Natural Gas Processing Plants (40 CFR Part 60,
Subparts KKK adn LLL)(Renewal)
FORMS: 1086.07
OMB NO: 2060-0122 EXPIRATION DATE: 08/31/2006
RESPS:1,232 HOURS:17,162 COSTS(000):$22
NSPS for Coal Preparation Plants (40 CFR part 60, Subpart Y)
FORMS: 1062.08
OMB NO: 2060-0132 EXPIRATION DATE: 11/30/2008
RESPS:52 HOURS:1,178 COSTS(000):$18
Nonconformance Penalties for Heavy-Duty Engines and Heavy-Duty
Vehicles, including Light-Duty Trucks (40 CFR part 86, subpart
L) (Renewal)
FORMS: 1285.06
OMB NO: 2060-0135 EXPIRATION DATE: 12/31/2008
RESPS:30,014 HOURS:212,101 COSTS(000):$676
Enforcement Policy Regarding the Sale and Use of Aftermarket
Catalytic Converters (Renewal)
FORMS: 1292.07
OMB NO: 2060-0150 EXPIRATION DATE: 03/31/2007
RESPS:7,320 HOURS:14,810 COSTS(000):$29
Registration of Fuels and Fuel Additivies: Requirements for
Manufacturers
FORMS: ICR-0309.11 3520-12 3520-12A 3520-12Q 3520-13 3520-13A 3520-13B
OMB NO: 2060-0156 EXPIRATION DATE: 11/30/2007
RESPS:80 HOURS:13,323 COSTS(000):$16
NSPS for Rubber Tire Manufacturing (40 CFR Part 60, Subpart BBB)
(Renewal)
FORMS: 1158.08
OMB NO: 2060-0161 EXPIRATION DATE: 07/31/2007
RESPS:189 HOURS:9,728 COSTS(000):$1,349
NSPS for New Residential Wood Heaters (40 CFR Part 60, Subpart
AAA) (Renewal)
FORMS: 1176.07
OMB NO: 2060-0162 EXPIRATION DATE: 11/30/2006
RESPS:28 HOURS:978 COSTS(000):$0
NSPS for the Surface Coating of Plastic Parts for Business
Machines (40 CFR part 60, subpart TTT) (Renewal)
FORMS: ICR-1093.07
OMB NO: 2060-0170 EXPIRATION DATE: 12/31/2008
RESPS:1,860 HOURS:8,370 COSTS(000):$6
Recordkeeping and Periodic Reporting of the Production, Import,
Export, Recycling, Destruction, Transhipment, and Feedstock Use
of Ozone-Depleting Substances (Renewal)
FORMS: 1432.25
OMB NO: 2060-0171 EXPIRATION DATE: 06/30/2007
RESPS:23 HOURS:2,017 COSTS(000):$87
NSPS for Magnetic Tape Coating Facilities (40 CFR Part 60, Sub-
part SSS) (Renewal)
FORMS: 1135.08
OMB NO: 2060-0172 EXPIRATION DATE: 10/31/2007
RESPS:270 HOURS:9,237 COSTS(000):$18
NSPS for VOC Emissions From Petroleum Refinery Wastewater
Systems (40 CFR part 60, subpart QQQ)(Renewal)
FORMS: 1136.07
OMB NO: 2060-0178 EXPIRATION DATE: 01/31/2008
RESPS:4,600,002 HOURS:6,447 COSTS(000):$0
Regulation of Fuels and Fuel Additives: Gasoline Volatility (40
CFR 80.27) (Renewal)
FORMS: 1367.07
OMB NO: 2060-0181 EXPIRATION DATE: 03/31/2008
RESPS:153 HOURS:12,623 COSTS(000):$606
NSPS for Polymeric Coating of Supporting Substrates Facilities
(40 CFR part 60, subpart VVV) (Renewal)
FORMS: 1284.07
OMB NO: 2060-0183 EXPIRATION DATE: 08/31/2006
RESPS:234 HOURS:16,626 COSTS(000):$0
NESHAP:_BenzeneWasteOperations(40CFRpart61,subpartFF)
FORMS: ICRNO1541.07
OMB NO: 2060-0185 EXPIRATION DATE: 12/31/2007
RESPS:34 HOURS:3,138 COSTS(000):$0
NESHAP for Benzene Emissions From Coke By-Product Recovery
Plants (40 CFR Part 61, Subpart L)(Renewal)
FORMS: 1080.11
OMB NO: 2060-0191 EXPIRATION DATE: 01/31/2009
RESPS:39 HOURS:4,032 COSTS(000):$190
NESHAP for Radionuclides (40 CFR Part 61, Subpart B, K, R, and
W) (Renewal)
FORMS: 1100.12
OMB NO: 2060-0202 EXPIRATION DATE: 11/30/2007
RESPS:546 HOURS:156,610 COSTS(000):$9,446
NSPS for Small Industrial-Commercial-Institutional Steam
Generating Units (40 CFR Par 60, Subpart DC)(Renewal)
FORMS: 1564.06
OMB NO: 2060-0210 EXPIRATION DATE: 04/30/2008
RESPS:103 HOURS:20,421 COSTS(000):$159
NSPS for Municipal Waste Combustors (40 CFR part 60, subparts Ea
and Eb) (Reneewal)
FORMS: 1506.10
OMB NO: 2060-0220 EXPIRATION DATE: 01/31/2009
RESPS:211 HOURS:3,548 COSTS(000):$21
NSPS for Municipal Solid Waste Landfills (40 CFR part 60,
subpart WWW) (Renewal)
FORMS: ICR-1557.06
OMB NO: 2060-0226 EXPIRATION DATE: 12/31/2007
RESPS:279 HOURS:8,927 COSTS(000):$45
Significant New Alternatives Policy (SNAP) (40 CFR Part 82, Sub-
part G)(Renewal)
FORMS: 1596.06 126593 1265-94 1265-93(1)
OMB NO: 2060-0234 EXPIRATION DATE: 10/31/2006
RESPS:36,592 HOURS:1,537,784 COSTS(000):$53
NESHAP for Perchlorethylene Dry Cleaning Facilities (40 CFR Part
63, Subpart M)
FORMS: 1415.05
OMB NO: 2060-0243 EXPIRATION DATE: 03/31/2007
RESPS:17,738 HOURS:5,109,548 COSTS(000):$0
State Operating Permits Regulations (40 CFR part 70) (Renewal)
FORMS: 1587.06
OMB NO: 2060-0247 EXPIRATION DATE: 12/31/2008
RESPS:25,013 HOURS:2,865 COSTS(000):$0
Servicing of Motor Vehicle Air Conditioners
FORMS: 1617.05
OMB NO: 2060-0249 EXPIRATION DATE: 01/31/2009
RESPS:62 HOURS:34,024 COSTS(000):$18
Air Pollution Regulations for Outer Continental Shelf Activities
(Renewal)
FORMS: 1601.06 7610-12 7610-14
OMB NO: 2060-0251 EXPIRATION DATE: 01/31/2009
RESPS:340 HOURS:6,955 COSTS(000):$113
NSPS for Calciners and Dryers in Mineral Industries (40 CFR Part
60, Subpart UUU)(Renewal)
FORMS: 0746.06
OMB NO: 2060-0252 EXPIRATION DATE: 02/28/2009
RESPS:34 HOURS:2,890 COSTS(000):$0
Data Reporting Requirements for State and Local Vehicle Emission
Inspection and Maintenance (I/M) Programs (Reinstatement)
FORMS: 1613.02
OMB NO: 2060-0253 EXPIRATION DATE: 12/31/2008
RESPS:42 HOURS:80,119 COSTS(000):$0
National Emissions Standards for Coke Oven Batteries (Renewal)
FORMS: 1362.06
OMB NO: 2060-0256 EXPIRATION DATE: 07/31/2007
RESPS:346,244 HOURS:210,681 COSTS(000):$0
National Refrigerant Recycling and Emission Reduction Program
FORMS: 1626.08
OMB NO: 2060-0258 EXPIRATION DATE: 07/31/2009
RESPS:17,855 HOURS:1,971,276 COSTS(000):$142,258
Acid Rain Program Under Title IV of the CAA Amendments of 1990
(Renewal)
FORMS: 1633.14 7610 7620
OMB NO: 2060-0264 EXPIRATION DATE: 09/30/2007
RESPS:1,008 HOURS:41,577 COSTS(000):$26
Application Requirements for the Approval and Delegation of
Federal Air Toxics Programs to State, Territorial, Local, and
Tribal Agencies (Renewal)
FORMS: 1643.05
OMB NO: 2060-0273 EXPIRATION DATE: 04/30/2007
RESPS:2,847 HOURS:41,035 COSTS(000):$1,015
NESHAP for Halogenated Solvent Cleaning (40 CFR part 63, subpart
T)
FORMS: 1652.05
OMB NO: 2060-0275 EXPIRATION DATE: 01/31/2008
RESPS:69,538 HOURS:221,808 COSTS(000):$205
Regulation of Fuels and Fuel Additives: Detergent Gasoline (40
CFR Part 80, Subpart G)(Renewal)
FORMS: 1655.05
OMB NO: 2060-0277 EXPIRATION DATE: 10/31/2007
RESPS:65 HOURS:101,023 COSTS(000):$23,204
Regulation of Fuel and Fuel Additives: Refiner and Importer
Quality Assurance Requirements for Downstream Oxygen Blending
and Requirements for Disposition of Pipeline Interfaces.
FORMS: 1591.21
OMB NO: 2060-0279 EXPIRATION DATE: 07/31/2008
RESPS:80 HOURS:15,368 COSTS(000):$0
General Conformity of Federal Actions to State Implementation
Plans (40 CFR Part 51, subpart W; part 93, subpart B)(Renewal)
FORMS: 1637.06
OMB NO: 2060-0283 EXPIRATION DATE: 06/30/2007
RESPS:236 HOURS:8,662 COSTS(000):$648
NESHAP for Ethylene Oxide Emissions from Sterilization Facilies
(40 CFR Part 63, Subpart 0)(Renewal)
FORMS: 1666.06
OMB NO: 2060-0287 EXPIRATION DATE: 03/31/2008
RESPS:1,006 HOURS:147,218 COSTS(000):$6,822
In-Use Testing of On-Road Heavy-Duty Diesel Engines and Vehicles
(Final Rule)
FORMS: 1684.08
OMB NO: 2060-0289 EXPIRATION DATE: 07/31/2008
RESPS:842 HOURS:9,872 COSTS(000):$0
NESHAP for Marine Tank Vessel Loading Operations (Renewal) (40
CFR part 63, subpart Y)
FORMS: 1679.05
OMB NO: 2060-0290 EXPIRATION DATE: 02/29/2008
RESPS:18 HOURS:3,853 COSTS(000):$9
NESHAP for Epoxy Resin and Non-Nylon Polyamide Production (40
CFR Part 63, Subpart W)(Renewal)
FORMS: 1681.05
OMB NO: 2060-0296 EXPIRATION DATE: 12/31/2006
RESPS:70 HOURS:16,034 COSTS(000):$150
NESHAP for the Secondary Lead Smelter Industry (40 CFR Part 63,
subpart X)
FORMS: 1686.05
OMB NO: 2060-0297 EXPIRATION DATE: 11/30/2006
RESPS:4 HOURS:60,700 COSTS(000):$1,397
Fuels and Fuel Additives - Health-Effects Research Protocols -
40 CFR Part 79, Subpart F
FORMS: 1696.04
OMB NO: 2060-0302 EXPIRATION DATE: 05/31/2008
RESPS:41 HOURS:1,457 COSTS(000):$111
Retrofit/Rebuild Requirements for 1993 and Earlier Model Year
Urban Buses (40 CFR part 85, subpart O) (Renewal)
FORMS: 1702.04
OMB NO: 2060-0306 EXPIRATION DATE: 12/31/2007
RESPS:9 HOURS:360 COSTS(000):$0
Clean Air Act Tribal Authority (Renewal)
FORMS: 1676.04
OMB NO: 2060-0308 EXPIRATION DATE: 01/31/2008
RESPS:444,110 HOURS:312,233 COSTS(000):$8,500
Recordkeeping & Reporting for the Fuel Quality Regulations for
Diesel Fuel Sold in 2001 & Later Years; for Tax-Exempt (Dyed)
Highway Diesel Fuel; & Nonroad Locomotive & Marine Diesel Fuel
FORMS: 1718.06
OMB NO: 2060-0313 EXPIRATION DATE: 05/31/2007
RESPS:708 HOURS:154,306 COSTS(000):$0
NESHAP for Off-Site Waste and Recovery Operations (40 CFR part
63, subpart DD) (Renewal)
FORMS: 1717.04
OMB NO: 2060-0314 EXPIRATION DATE: 09/30/2007
RESPS:544 HOURS:141,645 COSTS(000):$136
NESHAP for Aerospace Manufacturing and Rework Facilities (40 CFR
part 63, subpart GG) (Renewal)
FORMS: 1687.06
OMB NO: 2060-0318 EXPIRATION DATE: 09/30/2007
RESPS:6,241 HOURS:711,477 COSTS(000):$12,418
Air Emission Standards for Tanks, Surface Impoundments and
Containers (40 CFR part 264, subpart CC and 40 CFR part 265
subpart CC) (Renewal)
FORMS: 1593.06
OMB NO: 2060-0320 EXPIRATION DATE: 05/31/2008
RESPS:169,594 HOURS:86,136 COSTS(000):$0
Reporting and Recordkeeping Requirements for Importation of
Nonroad Engines and Recreational Vehicles (Renewal)
FORMS: 1723.04 3520-21 3520-8
OMB NO: 2060-0321 EXPIRATION DATE: 01/31/2008
RESPS:218 HOURS:40,293 COSTS(000):$201
Emission Certification and Compliance Requirements for Marine
Spark-ignition Engines (Renewal)
FORMS: 1722.04
OMB NO: 2060-0324 EXPIRATION DATE: 06/30/2007
RESPS:1,053 HOURS:47,190 COSTS(000):$18
NESHAP for Wood Furniture Manufacturing Operations (40 CFR Part
63, subpart JJ)
FORMS: 1716.04
OMB NO: 2060-0325 EXPIRATION DATE: 06/30/2007
RESPS:526 HOURS:32,575 COSTS(000):$851
NESHAP for Gasoline Distribution Facilities (Stage 1) (40 CFR
Part 63, Subpart R)
FORMS: 1659.05
OMB NO: 2060-0326 EXPIRATION DATE: 05/31/2007
RESPS:17 HOURS:3,395 COSTS(000):$47
NESHAP for Magnetic Tape Manufacturing Operations (40 CFR Part
63 subpart EE)
FORMS: ICR-1678.05
OMB NO: 2060-0327 EXPIRATION DATE: 06/30/2007
RESPS:5,968 HOURS:495,774 COSTS(000):$75,300
NESHAP for Chromium Emissions From Hard and Decorative Chromium
Electroplating and Chromium Anodizing Tanks (40 CFR part 63,
subpart N)
FORMS: 1611.05
OMB NO: 2060-0328 EXPIRATION DATE: 03/31/2008
RESPS:146 HOURS:4,705 COSTS(000):$0
EPA's Natural Gas STAR Program (Renewal)
FORMS: 1736.04
OMB NO: 2060-0330 EXPIRATION DATE: 09/30/2006
RESPS:112 HOURS:28,594 COSTS(000):$0
NESHAP for Shipbuilding and Ship Repair Facilities (Surface
Coating)(40 CFR Part 63, Subpart II)
FORMS: 1712.04
OMB NO: 2060-0335 EXPIRATION DATE: 01/31/2007
RESPS:508 HOURS:50,796 COSTS(000):$412
NESHAP for the Printing and Publishing Industry (40 CFR Part 63,
Subpart KK)
FORMS: 1739.04
OMB NO: 2060-0336 EXPIRATION DATE: 03/31/2007
RESPS:1,717 HOURS:24,077 COSTS(000):$0
Federal Operating Permit Regulations (40 CFR part 71)(Renewal)
FORMS: 1713.05
OMB NO: 2060-0337 EXPIRATION DATE: 11/30/2007
RESPS:53 HOURS:2,120 COSTS(000):$0
Annual Reporting form for State Small Business Stationary source
technical and environmental compliance assistance program (SBTCP)
FORMS: 1748.04
OMB NO: 2060-0338 EXPIRATION DATE: 03/31/2008
RESPS:1,232 HOURS:146,134 COSTS(000):$6,861
Emissions Certification and Compliance Requirements for Nonroad
Spark-ignition Engines (Renewal)
FORMS: 1695.08
OMB NO: 2060-0340 EXPIRATION DATE: 04/30/2008
RESPS:489 HOURS:410,054 COSTS(000):$0
NESHAP for Petroleum Refineries (40 CFR part 63, Subpart CC)
(Renewal)
FORMS: 1692.05
OMB NO: 2060-0347 EXPIRATION DATE: 11/30/2006
RESPS:32,734 HOURS:83,343 COSTS(000):$1,541
Activities Associated with EPA's Energy Star Program in the
Commercial and Industrial Sectors.
FORMS: 1772.03
OMB NO: 2060-0348 EXPIRATION DATE: 10/31/2007
RESPS:367 HOURS:29,613 COSTS(000):$0
National Volatile Organic Compound Emission Standards for
Consumer Products
FORMS: EPA-1764.03
OMB NO: 2060-0350 EXPIRATION DATE: 03/31/2007
RESPS:1,000,000 HOURS:83,333 COSTS(000):$100
Mobile Air Conditioner Retrofitting Program
FORMS: 1774.03
OMB NO: 2060-0353 EXPIRATION DATE: 03/31/2007
RESPS:4 HOURS:14 COSTS(000):$0
Reporting and Recordkeeping Requirements for National Volatile
Organic Compound Emission Standards for Automobile Refinish
Coatings
FORMS: 1765.03
OMB NO: 2060-0357 EXPIRATION DATE: 05/31/2007
RESPS:209 HOURS:9,047 COSTS(000):$0
NESHAP for Flexible Polyurethane Foam Production (43 CFR Part
63, Subpart III)
FORMS: 1783.03
OMB NO: 2060-0358 EXPIRATION DATE: 06/30/2007
RESPS:632 HOURS:158,179 COSTS(000):$9
NESHAP for Pharmaceuticals Production (40 CFR Part 63, Subpart
GGG)
FORMS: 1781.03
OMB NO: 2060-0360 EXPIRATION DATE: 02/29/2008
RESPS:56 HOURS:122,607 COSTS(000):$114
NESHAP for Primary Aluminum Reduction Plants (40 CFR Part 63,
Subpart LL)(Renewal)
FORMS: 1767.04
OMB NO: 2060-0361 EXPIRATION DATE: 05/31/2007
RESPS:84 HOURS:1,542 COSTS(000):$11
NESHAP for Phosphoric Acid Manufacturing and Phosphate
Fertilizer Production Plants (40 CFR part 63, subparts AA and BB)
FORMS: 1790.03
OMB NO: 2060-0362 EXPIRATION DATE: 06/30/2007
RESPS:24 HOURS:3,018 COSTS(000):$9
NESHAP for Mineral Wool Production (40 CFR part 63, subpart DDD)
FORMS: 1799.03
OMB NO: 2060-0363 EXPIRATION DATE: 12/31/2007
RESPS:45 HOURS:4,795 COSTS(000):$22
NSPS for Hospital/Medical/Infectious Waste Incinerators (40 CFR
Part 50, Subpart Ec)(Renewal)
FORMS: 1730.04
OMB NO: 2060-0369 EXPIRATION DATE: 01/31/2008
RESPS:80 HOURS:17,069 COSTS(000):$6
Transition Program for Equipment Manufacturers (Renewal)
FORMS: 1826.03
OMB NO: 2060-0370 EXPIRATION DATE: 06/30/2008
RESPS:402 HOURS:24,164 COSTS(000):$353
NESHAP for Pesticide Active Ingredient Production (40 CFR part
63, subpart MMM)(Renewal)
FORMS: 1807.03
OMB NO: 2060-0373 EXPIRATION DATE: 10/31/2008
RESPS:100 HOURS:36,800 COSTS(000):$4
Control Technology Determination for Constructed or
Reconstructed Major Sources of Hazardous Air Pollutants (40 CFR
Part 63, Sub- part B)(Renewal)
FORMS: 1658.04
OMB NO: 2060-0376 EXPIRATION DATE: 03/31/2007
RESPS:2,308 HOURS:63,688 COSTS(000):$1,440
Compliance Assurance Monitoring Program (40 CFR Part 64)(Renewal)
FORMS: 1663.04
OMB NO: 2060-0377 EXPIRATION DATE: 04/30/2008
RESPS:316 HOURS:150,043 COSTS(000):$987
NESHAP for Chemical Recovery Combustion Sources at Kraft, Soda,
Sulfite, and Stand-Alone Semichemical Pulp Mills (40 CFR Part
63, subpart MM)
FORMS: 1805.04
OMB NO: 2060-0382 EXPIRATION DATE: 03/31/2008
RESPS:24 HOURS:13,050 COSTS(000):$133
Reporting and Recordkeeping Requirements Under the Perfluro-
compount (PFC) Reduction/Climate Partnership for the Semi-
conductor Industry (Renewal)
FORMS: 1823.03
OMB NO: 2060-0387 EXPIRATION DATE: 04/30/2008
RESPS:409 HOURS:42,444 COSTS(000):$377
NESHAP for Pulp and Paper Production (40 CFR part 63, subpart S)
(Renewal)
FORMS: 1657.05
OMB NO: 2060-0390 EXPIRATION DATE: 08/31/2006
RESPS:98 HOURS:39,067 COSTS(000):$402
Federal Plan Recordkeeping and Reporting Requirements for Large
Municipal Waste Combustors Constructed on or Before September
20, 1994 (40 CFR Part 62, Subpart FFF)
FORMS: 1847.03
OMB NO: 2060-0391 EXPIRATION DATE: 09/30/2008
RESPS:7 HOURS:584 COSTS(000):$0
NESHAP for Ferroalloys Production: Ferromanganese and Silico-
manganese (40 CFR Part 63, Subpart XXX)(Renewal)
FORMS: 1831.03
OMB NO: 2060-0392 EXPIRATION DATE: 05/31/2008
RESPS:67 HOURS:17,074 COSTS(000):$1,384
Information Requirements for Locomotives and Locomotive Engines
(40 CFR Part 92)(Renewal)
FORMS: 1800.03
OMB NO: 2060-0393 EXPIRATION DATE: 07/31/2008
RESPS:855 HOURS:22,761 COSTS(000):$0
National Volatile Organic Compound Emission Standards for
Architectural Coatings (40 CFR part 59, subpart D) (Renewal)
FORMS: 1750.04
OMB NO: 2060-0394 EXPIRATION DATE: 04/30/2008
RESPS:1 HOURS:8 COSTS(000):$0
NESHAP for Beryllium Rocket Motor Firing (40 CFR part 61,
subpart D) (Renewal)
FORMS: 1125.04
OMB NO: 2060-0395 EXPIRATION DATE: 02/28/2009
RESPS:12 HOURS:69 COSTS(000):$1
Exclusion Determinations for New Non-road Spark-ignited Engines
at or Below 19 Kilowatts, New Non-road Compression-ignited
Engines, New Marine Engies, and New On-road Heavy Duty Engines
FORMS: 1852.03
OMB NO: 2060-0411 EXPIRATION DATE: 02/28/2009
RESPS:7 HOURS:689 COSTS(000):$0
Voluntary Aluminum Industrial Partnership (VAIP)(Renewal)
FORMS: 1867.03
OMB NO: 2060-0414 EXPIRATION DATE: 02/28/2009
RESPS:4 HOURS:12,190 COSTS(000):$19
NESHAP for Primary Lead Smelters (40 CFR Part 63, subpart TTT)
(Renewal)
FORMS: 1856.05
OMB NO: 2060-0415 EXPIRATION DATE: 01/31/2009
RESPS:190 HOURS:13,042 COSTS(000):$203
NESHAP for Polyether Polyol Production
FORMS: 1811.05
OMB NO: 2060-0416 EXPIRATION DATE: 02/28/2009
RESPS:418 HOURS:17,526 COSTS(000):$792
NESHAP for Portland Cement (40 CFR Part 63, Subpart LLL)(Renewal)
FORMS: 1801.04
OMB NO: 2060-0417 EXPIRATION DATE: 03/31/2009
RESPS:942 HOURS:175,907 COSTS(000):$496
NESHAP for Oil and Natural Gas Production (40 CFR Part 63,
Subpart HH) (Renewal)
FORMS: 1788.06
OMB NO: 2060-0418 EXPIRATION DATE: 01/31/2009
RESPS:52 HOURS:757 COSTS(000):$0
NESHAP for Natural Gas Transmission and Storage (40 CFR part 63,
HHH) (Renewal)
FORMS: 1789.05
OMB NO: 2060-0419 EXPIRATION DATE: 02/28/2009
RESPS:153 HOURS:25,448 COSTS(000):$9
NESHAP for Steel Pickling (40 CFR Part 63, Subpart CCC)(Renewal)
FORMS: 1821.05
OMB NO: 2060-0420 EXPIRATION DATE: 03/31/2009
RESPS:30 HOURS:4,004 COSTS(000):$107
NESHAP for Source Categories: Generic Maximum Achievable Control
Technology Standards (40 CFR part 63, subpart YY) (Renewal)
FORMS: ICR-1871.04
OMB NO: 2060-0421 EXPIRATION DATE: 08/31/2006
RESPS:205 HOURS:56,605 COSTS(000):$0
Information Colleciton Request for Proposed Regional Haze
Regulations (Renewal)
FORMS: 1813.04
OMB NO: 2060-0422 EXPIRATION DATE: 08/31/2006
RESPS:645 HOURS:105,228 COSTS(000):$295,407
New Source Performance Standards (NSPS), Emission Guidelines for
Hospital/Medical/Infections Waste Incinerators (HMIWI), Subpart
Ce
FORMS: 1899.02
OMB NO: 2060-0423 EXPIRATION DATE: 08/31/2006
RESPS:10 HOURS:25,201 COSTS(000):$277
NSPS Small Municipal Waste Combustors (40 CFR Part 60 Subpart
AAAA)
FORMS: 1900.02
OMB NO: 2060-0424 EXPIRATION DATE: 08/31/2006
RESPS:416 HOURS:186,374 COSTS(000):$3,338
Emission Guidelines Reporting and Recordkeeping Requirements for
Existing Small Municipal Waste Combustion (MWC) Units (40 CFR
part 60, Subpart BBBB)
FORMS: 1901.02
OMB NO: 2060-0427 EXPIRATION DATE: 03/31/2007
RESPS:149 HOURS:27,197 COSTS(000):$198
Production Line Testing, In-use Testing, and Selective
Enforcement Auditing Reporting and Recordkeeping Requirements
for Manufacturers of Nonroad Spark Ignition Engines At or.......
FORMS: 1845.03
OMB NO: 2060-0428 EXPIRATION DATE: 08/31/2006
RESPS:6 HOURS:216 COSTS(000):$0
NESHAP for Publicly Owned Treatment Works (POTW) Facilities (40
CFR part 63, Subpart VVV)
FORMS: 1891.03
OMB NO: 2060-0430 EXPIRATION DATE: 11/30/2006
RESPS:173 HOURS:11,678 COSTS(000):$242
Federal Emission Requirements for Existing Municipal Solid Waste
Landfills (Small) (40 CFR Part 62, Subpart GGG)
FORMS: 1893.03
OMB NO: 2060-0433 EXPIRATION DATE: 09/30/2006
RESPS:3,430 HOURS:94,998 COSTS(000):$231
NESHAP for Secondary Aluminum Production (40 CFR Part 63,
Subpart RRR)
FORMS: 1894.04
OMB NO: 2060-0434 EXPIRATION DATE: 05/31/2007
RESPS:82 HOURS:24,044 COSTS(000):$16
NESHAP for the Manufacture of Amino/Phenolic Resins (40 CFR 63,
Subpart OOO)
FORMS: 1869.03
OMB NO: 2060-0437 EXPIRATION DATE: 04/30/2007
RESPS:37,818 HOURS:38,742 COSTS(000):$0
Recordkeeping and Reporting Requirements Regarding the Sulfur
Content of Motor Vehicle Gasoline Under the Tier 2 Rule (40 CFR
part 80, subpart H)
FORMS: 1907.03
OMB NO: 2060-0439 EXPIRATION DATE: 09/30/2007
RESPS:7,000 HOURS:1,833 COSTS(000):$0
The Sun Wise School Program
FORMS: 1904.02 7620-19 7620-20 7620-21
OMB NO: 2060-0442 EXPIRATION DATE: 03/31/2007
RESPS:220 HOURS:669 COSTS(000):$0
NSPS for Storage Vessels for Petroleum Liquids for Which Con-
struction, Reconstruction of Modification Commenced after June
11, 1973, and Prior to May 19, 1978 (40 CFR Part 60, Subpart K)
FORMS: 1797.03
OMB NO: 2060-0443 EXPIRATION DATE: 11/30/2008
RESPS:11,447 HOURS:2,057,270 COSTS(000):$95,360
The Consolidated Federal Air Rule for SOCMI (Renewal)
FORMS: 1854.04
OMB NO: 2060-0445 EXPIRATION DATE: 05/31/2007
RESPS:3,470 HOURS:483,069 COSTS(000):$28,743
Emission Reporting Requirements for Ozone SIP Revisions Relating
to Statewide Budgets for NOx Emissions to Reuce the Regional
Transport of Ozone
FORMS: 1857.03 7620-14 7620-15 7620-16 7620-22 7620-23 7620-24
OMB NO: 2060-0446 EXPIRATION DATE: 07/31/2007
RESPS:440 HOURS:1,533 COSTS(000):$1
Landfill Methane Outreach Program
FORMS: 1849.02
OMB NO: 2060-0450 EXPIRATION DATE: 03/31/2007
RESPS:52 HOURS:16,899 COSTS(000):$18
NSPS for Commericial and Industrial Solid Wasete Incineration
Units (40 CFR part 60, subpart CCCC)
FORMS: ICR-1926.03
OMB NO: 2060-0451 EXPIRATION DATE: 04/30/2007
RESPS:276 HOURS:72,423 COSTS(000):$99
Emission Guidelines for Commercial and Industrial Solid Waste
Incineration Units (40 CFR Part 60, subpart DDDD)
FORMS: 1927.03
OMB NO: 2060-0457 EXPIRATION DATE: 06/30/2009
RESPS:296 HOURS:28,845 COSTS(000):$172
NESHAP for the Surface Coating of Large Household and Commerical
Appliances (40 CFR part 63, subpart NNNN)(Renewal)
FORMS: 1954.03
OMB NO: 2060-0471 EXPIRATION DATE: 07/31/2008
RESPS:213 HOURS:39,385 COSTS(000):$0
NESHAP for Solvent Extraction for Vegetable Oil Production
(Renewal)(40 CFR Part 63, Subpart GGGG)
FORMS: 1947.03
OMB NO: 2060-0476 EXPIRATION DATE: 09/30/2008
RESPS:45 HOURS:8,837 COSTS(000):$8
NESHAP for Primary Cooper Smelters (40 CFR Part 63, Subpart QQQ)
(Renewal)
FORMS: 1850.04
OMB NO: 2060-0478 EXPIRATION DATE: 09/30/2008
RESPS:10 HOURS:334 COSTS(000):$0
NESHAP for Leather Finishing Operations (Renewal)(40 CFR Part
63, subpart TTTT)
FORMS: 1985.03
OMB NO: 2060-0481 EXPIRATION DATE: 07/31/2008
RESPS:8 HOURS:1,296 COSTS(000):$1
NESHAP for Friction Materials Manufacturing (40 CFR part 63,
subpart QQQQQ) (Renewal)
FORMS: 2025.03
OMB NO: 2060-0482 EXPIRATION DATE: 08/31/2008
RESPS:100 HOURS:5,000 COSTS(000):$0
Protection of Stratospheric Ozone: Request for Applications for
Critical Use Exemption for the Phaseout of Methyl Bromide
(Renewal)
FORMS: 2031.02
OMB NO: 2060-0483 EXPIRATION DATE: 07/31/2008
RESPS:40 HOURS:3,043 COSTS(000):$6
NESHAP for Engine Test Cells/Stands (40 CFR Part 63, Subpart
PPPPP)(Renewal)
FORMS: 2066.03
OMB NO: 2060-0486 EXPIRATION DATE: 01/31/2009
RESPS:3,408 HOURS:675,050 COSTS(000):$2,167
NESHAP for Miscellaneous Metal Parts and Products (40 CFR part
63, Subpart MMMM)(Renewal)
FORMS: 2056.02
OMB NO: 2060-0487 EXPIRATION DATE: 09/30/2008
RESPS:167 HOURS:19,901 COSTS(000):$4
NESHAP for Metal Coil Surface Coating Plants (40 CFR Part 63,
Subpart, Subpart SSSS)(Renewal)
FORMS: 1957.04
OMB NO: 2060-0488 EXPIRATION DATE: 07/31/2008
RESPS:86 HOURS:12,088 COSTS(000):$1
NESHAP for Cellulose Products Manufacturing (40 CFR part 63,
subpart UUUU)(Renewal)
FORMS: 1974.04
OMB NO: 2060-0489 EXPIRATION DATE: 11/30/2008
RESPS:151 HOURS:13,533 COSTS(000):$359
NESHAP for Carbon Black, Ethylene, Cyanide, and Spandex (40 CFR
part 63, Subpart YY)(Renewal)
FORMS: 1983.04
OMB NO: 2060-0490 EXPIRATION DATE: 11/30/2008
RESPS:45,278 HOURS:1,152 COSTS(000):$0
National Survey on Environmental Management of Asthma
FORMS: 1996.03
OMB NO: 2060-0496 EXPIRATION DATE: 03/31/2009
RESPS:32 HOURS:1,966 COSTS(000):$0
NESHAP for Wet-formed Fiberglass Mat Production (40 CFR Part 63,
Subpart HHHH)(Renewal)
FORMS: 1964.03
OMB NO: 2060-0498 EXPIRATION DATE: 07/31/2009
RESPS:342 HOURS:1,632 COSTS(000):$1
Reporting and Recordkeeping Requirements of the HCFC Allowance
System (Renewal)
FORMS: 2014.03
OMB NO: 2060-0505 EXPIRATION DATE: 08/31/2006
RESPS:1,330 HOURS:39,360 COSTS(000):$13
National Emission Standards for Hazardous Air Pollutants from
Municipal Solid Waste Landfills (Final Rule)
FORMS: 1938.02
OMB NO: 2060-0508 EXPIRATION DATE: 06/30/2009
RESPS:166 HOURS:14,086 COSTS(000):$15
NESHAP for Brick and Structural Clay Manufacturing (CFR 40 Part
63, subpart JJJJJ) (Renewal)
FORMS: 2022.03
OMB NO: 2060-0509 EXPIRATION DATE: 06/30/2009
RESPS:1,077 HOURS:17,740 COSTS(000):$22
NESHAP for Reinforced Plastic Composites Production (40 CFR Part
63, Subpart WWWW)(Renewal)
FORMS: 1976.03
OMB NO: 2060-0510 EXPIRATION DATE: 08/31/2006
RESPS:430 HOURS:2,176 COSTS(000):$22
NESHAP for the Wood Building Products Surface Coating Industry
(40 CFR Part 63, Subpart QQQQ)(Final Rule)
FORMS: 2034.02
OMB NO: 2060-0511 EXPIRATION DATE: 06/30/2009
RESPS:492 HOURS:11,312 COSTS(000):$852
NESHAP for Paper and Other Web Coating (40 CFR Part 63, Subpart
JJJJ) (Renewal)
FORMS: 1951.03
OMB NO: 2060-0513 EXPIRATION DATE: 08/31/2006
RESPS:16 HOURS:185 COSTS(000):$2
Recordkeeping and Reporting Requirements for the Clay Ceramics
Manufacturing NESHAP
FORMS: 2023.01
OMB NO: 2060-0515 EXPIRATION DATE: 06/30/2009
RESPS:22 HOURS:470 COSTS(000):$3
NESHAP for Refractory Products Manufacturing (40 CFR Part 63,
subpart SSSSS)(Renewal)
FORMS: 2040.03
OMB NO: 2060-0516 EXPIRATION DATE: 03/31/2009
RESPS:137 HOURS:12,303 COSTS(000):$3
NESHAP for Flexible Polyurethane Foam Fabrication (40 CFR Part
63, Subpart MMMMM)(Renewal)
FORMS: 2027.03
OMB NO: 2060-0517 EXPIRATION DATE: 08/31/2006
RESPS:24 HOURS:4,772 COSTS(000):$64
NESHAP for Integrated Iron and Steel Manufacturing (Final Rule)
FORMS: 2003.02
OMB NO: 2060-0518 EXPIRATION DATE: 08/31/2006
RESPS:576 HOURS:45,672 COSTS(000):$0
NESHAP for Metal Furniture Surface Coating (Final Rule)
FORMS: 1952.02
OMB NO: 2060-0519 EXPIRATION DATE: 08/31/2006
RESPS:2 HOURS:234 COSTS(000):$0
NESHAP for Semiconductor Manufacturing (40 CFR Part 63, Sub-
part BBBBB) (Final rule)
FORMS: 2042.02
OMB NO: 2060-0520 EXPIRATION DATE: 08/31/2006
RESPS:32 HOURS:1,962 COSTS(000):$277
NESHAP for Asphalt Processing and Asphalt Roofing Manufacturing
(40 CFR part 63, Subpart LLLLL)(Final Rule)
FORMS: 2029.02
OMB NO: 2060-0521 EXPIRATION DATE: 08/31/2006
RESPS:30 HOURS:2,209 COSTS(000):$83
NESHAP for Coke Oven: Pushing, Quenching, and Battery Stacks (40
CFR Part 63, Subpart CCCCC)(Final Rule)
FORMS: 1995.02
OMB NO: 2060-0522 EXPIRATION DATE: 06/30/2009
RESPS:300 HOURS:20,281 COSTS(000):$7
NESHAP for Printing, Coating and Dyeing of Fabrics and Other
Textiles (40 CFR part 63, subpart 0000)(Renewal)
FORMS: 2071.03
OMB NO: 2060-0528 EXPIRATION DATE: 12/31/2007
RESPS:1,143 HOURS:70,667 COSTS(000):$500
Energy Star Product Labeling
FORMS: 2078.1
OMB NO: 2060-0529 EXPIRATION DATE: 08/31/2006
RESPS:117 HOURS:49,319 COSTS(000):$248
NESHAP for Hydrochloric Acid Production (Final Rule)
FORMS: 2032.05
OMB NO: 2060-0532 EXPIRATION DATE: 09/30/2006
RESPS:70 HOURS:5,114 COSTS(000):$6
Reporting Requirements under EPA's Climate Leaders Program
FORMS: 2100.01
OMB NO: 2060-0533 EXPIRATION DATE: 10/31/2006
RESPS:310 HOURS:17,745 COSTS(000):$348
NESHAP for Miscellaneous Organic Chemical Manufacturing (40 CFR
Part 63, subpart FFFF) (Final Rule)
FORMS: 1969.02
OMB NO: 2060-0534 EXPIRATION DATE: 12/31/2006
RESPS:2,288 HOURS:341,737 COSTS(000):$2,522
NESHAP: Site Remediation (Final Rule)
FORMS: 2062.02
OMB NO: 2060-0535 EXPIRATION DATE: 04/30/2007
RESPS:121 HOURS:10,139 COSTS(000):$44
NESHAP for Miscellaneous Coating Manufacturing (40 CFR Part 63
Subpart HHHHH) (Final Rule)
FORMS: 2115.01
OMB NO: 2060-0536 EXPIRATION DATE: 01/31/2007
RESPS:6 HOURS:731 COSTS(000):$0
NESHAP for Primary Magnesium Refining (40 CFR part 63, Subpart
TTTTT) (Final Rule)
FORMS: 2098.02
OMB NO: 2060-0537 EXPIRATION DATE: 01/31/2007
RESPS:203 HOURS:42,533 COSTS(000):$45
NESHAP for Plastic Parts and Products Surface Coating (40 CFR
Part 63, Subpart PPPP) (Final Rule).
FORMS: 2044.02
OMB NO: 2060-0538 EXPIRATION DATE: 01/31/2007
RESPS:8 HOURS:1,272 COSTS(000):$510
NESHAP for Taconite Iron Ore Processing (40 CFR Part 63 Subpart
RRRRR)(Final Rule)
FORMS: 2050.02
OMB NO: 2060-0539 EXPIRATION DATE: 04/30/2007
RESPS:698 HOURS:137,170 COSTS(000):$1,800
NESHAP for Organic Liquids Distribution (Non-Gasoline)
Facilities (40 CFR Part 63, Subpart EEEE)
FORMS: 1963.02
OMB NO: 2060-0540 EXPIRATION DATE: 06/30/2007
RESPS:237 HOURS:2,448 COSTS(000):$8
NESHAP for Stationary Combustion Turbines (40 CFR Part 63,
subpart YYYY) (Final Rule)
FORMS: 1967.02
OMB NO: 2060-0541 EXPIRATION DATE: 06/30/2007
RESPS:284 HOURS:7,815 COSTS(000):$1,732
NESHAP for Metal Can Manufacturing Surface Coating (40 CFR part
63, Subpart KKKK) (Final Rule)
FORMS: 2079.02
OMB NO: 2060-0542 EXPIRATION DATE: 01/31/2007
RESPS:9 HOURS:2,231 COSTS(000):$209
NESHAP for Mercury Cell Chlor-Alkali Plants (40 CFR Part 63,
Subpart IIIII) (Final Rule)
FORMS: 2046.02
OMB NO: 2060-0543 EXPIRATION DATE: 01/31/2007
RESPS:65 HOURS:22,325 COSTS(000):$272
NESHAP for Iron and Steel Foundries (Final Rule)(40 CFR Part 63,
subpart EEEEE)
FORMS: 2096.02
OMB NO: 2060-0544 EXPIRATION DATE: 01/31/2007
RESPS:174 HOURS:7,766 COSTS(000):$377
NESHAP for Lime Manufacturing (40 CFR Part 63, subpart AAAAA)
(Final Rule).
FORMS: 2072.02
OMB NO: 2060-0545 EXPIRATION DATE: 03/31/2007
RESPS:1,650 HOURS:500 COSTS(000):$0
Motor Vehicle and Engine Compliance Program Fees (Final Rule)
FORMS: 2080.02 3520-29
OMB NO: 2060-0546 EXPIRATION DATE: 07/31/2007
RESPS:45 HOURS:10,343 COSTS(000):$1
Reporting and Recordkeeping Requirements for National Emission
Standards for Hazardous Air Pollutants for Boat Manufacturing
(40 CFR Part 63, Subpart VVVV).
FORMS: 1966.02
OMB NO: 2060-0548 EXPIRATION DATE: 08/31/2007
RESPS:6,852 HOURS:141,984 COSTS(000):$2,973
NESHAP for Stationary Reciprocating Internal Combustion Engines
(40 CFR Part 63, subpart ZZZZ)(Final Rule)
FORMS: 1975.02
OMB NO: 2060-0550 EXPIRATION DATE: 08/31/2007
RESPS:291 HOURS:33,437 COSTS(000):$7
NESHAP for Automobile and Light-duty Truck Surface Coating (40
CFR Part 63, Subpart IIII)(Final Rule)
FORMS: 2045.02
OMB NO: 2060-0551 EXPIRATION DATE: 08/31/2007
RESPS:18,788 HOURS:1,150,245 COSTS(000):$23,504
NESHAP for Industrial, Commercial, and Institutional Boilers and
Process Heaters (40 CFR Part 63, subpart DDDDD) (Final Rule)
FORMS: 2028.02
OMB NO: 2060-0552 EXPIRATION DATE: 08/31/2007
RESPS:197 HOURS:4,692 COSTS(000):$36
NESHAP for Plywood and Composite Wood Products Manufacturing
Plants (40 CFR Part 63 and 429)(Final Rule)
FORMS: 1984.02
OMB NO: 2060-0553 EXPIRATION DATE: 11/30/2007
RESPS:1,900 HOURS:1,060 COSTS(000):$0
Mobile Source Emission Factors; Populations, Usage and Emissions
of Diesel Nonroad Equipment in EPA Region 7(Survey)
FORMS: ICR-0619-11
OMB NO: 2060-0554 EXPIRATION DATE: 08/31/2007
RESPS:132 HOURS:12,667 COSTS(000):$4,606
Recordkeeping and Reporting Requirements for Petroleum Refinery
NESHAP
FORMS: 1844.02
OMB NO: 2060-0558 EXPIRATION DATE: 11/30/2007
RESPS:1,561 HOURS:2,777 COSTS(000):$0
Federal Implementation Plans under the Clean Air Act for Indian
Reservations in Idaho, Oregon, and Washington (40 CFR Part 49,
Subpart M)(Final Rule)
FORMS: 2020.02
OMB NO: 2060-0561 EXPIRATION DATE: 12/31/2007
RESPS:1,510 HOURS:29,414 COSTS(000):$0
Transportation Conformity Determiniations for Federally Funded
and Approved Transportation Plans, Program and Projects under
the New 8-hour Ozone and PM2.5 NAAQS (Final Rule)40 CFR 93,
Subpart A
FORMS: 2130.02
OMB NO: 2060-0562 EXPIRATION DATE: 03/31/2009
RESPS:248 HOURS:3,803 COSTS(000):$0
Emission Guidelines for Existing Other Solid Waste Incineration
(OSWI) Units (40 CFR part 60, subpart FFFF) (Final Rule)
FORMS: 2164.02
OMB NO: 2060-0563 EXPIRATION DATE: 03/31/2009
RESPS:1 HOURS:1 COSTS(000):$0
NSPS: Other Solid Waste Incineration (OSWI) Units (40 CFR part
60 subpart EEEE) (Final Rule)
FORMS: 2163.02
OMB NO: 2060-0564 EXPIRATION DATE: 11/30/2008
RESPS:2,802 HOURS:1,452 COSTS(000):$0
Recordkeeping and Periodic Reporting of the Production, Import,
Recycling, Transshipment and Feedstock Use of Ozone Depleting
Substances (Final Rule for the Critical Use Exemption)
FORMS: 2179.03
OMB NO: 2060-0566 EXPIRATION DATE: 03/31/2009
RESPS:225 HOURS:46,500 COSTS(000):$0
Recordkeeping and Reporting for the Performance-Based
Qualification of Test Methods for Diesel Fuel (Renewal)
FORMS: 2180.02
OMB NO: 2060-0567 EXPIRATION DATE: 04/30/2008
RESPS:5 HOURS:4,882 COSTS(000):$569
Standards of Performance for New and Existing Stationary
Sources: Electric Utility Steam Generating Units (Final Rule)
FORMS: 2137.02
OMB NO: 2060-0570 EXPIRATION DATE: 09/30/2008
RESPS:12,000 HOURS:382,693 COSTS(000):$20,579
Clean Air Interstate Rule to Reduce Interstate Transport of Fine
Particle Matter and Ozone (final rule)
FORMS: 2152.02
OMB NO: 2060-0571 EXPIRATION DATE: 11/30/2008
RESPS:2,678 HOURS:14,338 COSTS(000):$0
Best Workplaces for Commuters Program
FORMS: 2053.01
OMB NO: 2060-0574 EXPIRATION DATE: 10/31/2008
RESPS:500 HOURS:2,042 COSTS(000):$0
Vehicle Service Information Web Site Audit
FORMS: 2181.01
OMB NO: 2060-0576 EXPIRATION DATE: 03/31/2009
RESPS:37 HOURS:2,281 COSTS(000):$0
Secondary Non-Ferrous Metals Processing Area Source Standard
Development Questionnaire
FORMS: ICR-2200.01
OMB NO: 2060-0577 EXPIRATION DATE: 02/28/2009
RESPS:403 HOURS:5,608 COSTS(000):$0
National Emissions Standards for Hazardous Air Pollutants from
Plating and Polishing Operations
FORMS: 2186.01
OMB NO: 2060-0578 EXPIRATION DATE: 04/30/2009
RESPS:1,164 HOURS:3,980 COSTS(000):$3
Reporting Requirements under EPA's Green Power Partnership and
Combined Heat and Power (CHP) Partnership
FORMS: 2173.01
OMB NO: 2060-0581 EXPIRATION DATE: 08/31/2006
RESPS:90 HOURS:405 COSTS(000):$0
Focus Group Research for Fuel Economy Label Designs
FORMS: ICR-2211.01
OMB NO: 2060-0584 EXPIRATION DATE: 07/31/2009
RESPS:606 HOURS:2,542 COSTS(000):$19
Inclusion of Delaware and New Jersey in the Clean Air Interstate
Rule (Final Rule)
FORMS: 2184.02
OMB NO: 2060-0587 EXPIRATION DATE: 11/30/2006
RESPS:110,700 HOURS:27,675 COSTS(000):$0
Reformulated Gasoline Commingling Provisions
FORMS: 2228.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
229 7,482,343 31,769,923 $964,013
Office of Prevention, Pesticides and Toxic Substances
OMB NO: 2070-0004 EXPIRATION DATE: 07/31/2009
RESPS:36 HOURS:1,278 COSTS(000):$0
Health and Safety Data Reporting; Submission of Lists and Copies
of Health and Safety Studies
FORMS: 0575.10
OMB NO: 2070-0012 EXPIRATION DATE: 12/31/2007
RESPS:1,674 HOURS:163,791 COSTS(000):$0
Pre-Manufacture Review Reporting and Exemption Requirements for
New Chemical Substances and Significant New Use Reporting
Requirements for Chemical Substances
FORMS: 7710-25 7710-56 0574.12
OMB NO: 2070-0017 EXPIRATION DATE: 01/31/2009
RESPS:13,445 HOURS:24,548 COSTS(000):$0
Recordkeeping and Reporting Requirements for Allegations of
Significant Adverse Reactions to Human Health or the Environment
(TSCA Section 8(c))
FORMS: 1031.08
OMB NO: 2070-0020 EXPIRATION DATE: 03/31/2009
RESPS:25,000 HOURS:7,500 COSTS(000):$0
Notice of Arrival of Pesticides and Devices (FIFRA)
FORMS: 0152.08 3540-1
OMB NO: 2070-0024 EXPIRATION DATE: 08/31/2006
RESPS:150 HOURS:258,900 COSTS(000):$0
Tolerance petitions for Pesticides on Food/Feed Crops and New
Inert Ingredients
FORMS: 0597.08
OMB NO: 2070-0027 EXPIRATION DATE: 02/28/2009
RESPS:5,000 HOURS:24,700 COSTS(000):$0
Foreign Purchaser Acknowledgment Statement of Unregistered
Pesticides
FORMS: 0161.10
OMB NO: 2070-0028 EXPIRATION DATE: 12/31/2007
RESPS:12,953 HOURS:25,907 COSTS(000):$0
Recordkeeping Requirements for Producers of Pesticides under
section 8 of the Federal Insecticide, Fungicide, and Rodenti-
cide Act (FIFRA)
FORMS: 0143.08
OMB NO: 2070-0029 EXPIRATION DATE: 12/31/2007
RESPS:424,398 HOURS:1,311,368 COSTS(000):$0
Certification of Pesticid Applicators
FORMS: 0155.08 8500-17
OMB NO: 2070-0030 EXPIRATION DATE: 08/31/2006
RESPS:7,500 HOURS:7,450 COSTS(000):$0
Notification of Chemical Exports - TSCA Section 12(b)
FORMS: 0795.11
OMB NO: 2070-0032 EXPIRATION DATE: 02/29/2008
RESPS:500 HOURS:49,500 COSTS(000):$0
Application and Summary Report for Emergency Exemption for
Pesticides
FORMS: 0596.08 8570-4
OMB NO: 2070-0033 EXPIRATION DATE: 06/30/2008
RESPS:1,425 HOURS:203,014 COSTS(000):$0
TSCA Section 4 Test, Consent Orders, Test Rule Exemptions, and
Voluntary Data Submission
FORMS: 1139.07
OMB NO: 2070-0038 EXPIRATION DATE: 03/31/2009
RESPS:5 HOURS:861 COSTS(000):$0
TSCA Section 5(a)(2) Significant New Use Rules for Existing
Chemicals (Renewal)
FORMS: 1188.08 7710-25
OMB NO: 2070-0039 EXPIRATION DATE: 05/31/2007
RESPS:46,325 HOURS:155,639 COSTS(000):$0
Submission of Unreasonable Adverse Effects Information under
FIFRA Section 6(a)(2)
FORMS: 1204.09
OMB NO: 2070-0040 EXPIRATION DATE: 05/31/2007
RESPS:75 HOURS:757 COSTS(000):$0
Application for Experimental Use Permit (EUP) to Ship and Use a
Pesticide for Experimental Purposes Only
FORMS: 0276.12 8570-17 8570-4
OMB NO: 2070-0044 EXPIRATION DATE: 01/31/2007
RESPS:4,000 HOURS:1,000 COSTS(000):$0
Notice of Supplemental Distribution of a Registered Pesticide
Product
FORMS: 0278.08
OMB NO: 2070-0046 EXPIRATION DATE: 08/31/2006
RESPS:327 HOURS:6,431 COSTS(000):$3
Notification of Substantial Risk of Injury to Health and the
Environment under TSCA Section 8(e)
FORMS: 0794.10
OMB NO: 2070-0052 EXPIRATION DATE: 08/31/2007
RESPS:703 HOURS:2,109 COSTS(000):$0
Compliance Requirement for Child-Resistant Packaging
FORMS: 0616.08
OMB NO: 2070-0054 EXPIRATION DATE: 05/31/2008
RESPS:20 HOURS:580 COSTS(000):$1
TSCA Secton 8(a) Preliminary Assessment Information Rule (PAIR)
FORMS: 7710-35 7710-51 0586.10
OMB NO: 2070-0055 EXPIRATION DATE: 08/31/2006
RESPS:350 HOURS:18,200 COSTS(000):$0
Notice of Pesticide Registration by States to Meet a Special
Local Need (SLN) Under FIFRA Section 24(c)
FORMS: 0595.08 8570-25 8570-4
OMB NO: 2070-0057 EXPIRATION DATE: 06/30/2008
RESPS:61 HOURS:64,699 COSTS(000):$0
Data Call-ins for the Special Review and Registration Review
Programs
FORMS: 0922.07 8570-32 8270-34 8570-35 8570-36 8570-37
OMB NO: 2070-0060 EXPIRATION DATE: 11/30/2008
RESPS:7,021 HOURS:152,974 COSTS(000):$0
Application for New and Amended Pesticide Registration
FORMS: 0277.14 8570-1 8570-4 8570-27 8570-34 8570-35 8570-36 8570-37
OMB NO: 2070-0067 EXPIRATION DATE: 10/31/2007
RESPS:4 HOURS:275 COSTS(000):$0
Chemical-Specific Rules, Toxic Substanes Control Act Section 8(a)
FORMS: ICR-1198.07
OMB NO: 2070-0072 EXPIRATION DATE: 10/31/2007
RESPS:1,264,123 HOURS:412,243 COSTS(000):$0
Reporting and Recordkeeping Requirements for Asbestos Abatement
Worker Protection
FORMS: 1246.09
OMB NO: 2070-0074 EXPIRATION DATE: 05/31/2007
RESPS:40 HOURS:1,753 COSTS(000):$0
Recordkeeping Requirements for Certified Applications Using 1080
Collars for Livestock Protection
FORMS: 1249.07
OMB NO: 2070-0075 EXPIRATION DATE: 08/31/2007
RESPS:268 HOURS:415 COSTS(000):$0
Request for Contractor Access to TSCA Confidential Business
Information
FORMS: ICR-1250.07 FORM-7740-6
OMB NO: 2070-0078 EXPIRATION DATE: 09/30/2008
RESPS:13,000 HOURS:18,800 COSTS(000):$0
Pesticide Registration Application, Notification and Report for
Pesticide Producing Establishments (Renewal)
FORMS: 0160.08 3540-8 3540-8A 3540-16
OMB NO: 2070-0091 EXPIRATION DATE: 01/31/2008
RESPS:107,551 HOURS:2,485,440 COSTS(000):$0
Asbestos-Contining Materials in Schools Rule and Revised
Asbestos Model Accredition Plan Rule
FORMS: 1365.07
OMB NO: 2070-0093 EXPIRATION DATE: 01/31/2008
RESPS:82,000 HOURS:3,746,590 COSTS(000):$0
Toxic Chemical Release Reporting (Form R) (Renewal)
FORMS: 1363.14 9350-1
OMB NO: 2070-0100 EXPIRATION DATE: 05/31/2007
RESPS:1,900 HOURS:1,763 COSTS(000):$0
Pesticide Product Registration Maintenance Fee
FORMS: 1214.06 8570-30
OMB NO: 2070-0107 EXPIRATION DATE: 06/30/2008
RESPS:146 HOURS:275,063 COSTS(000):$0
Data Generation for Pesticide Reregistration
FORMS: 1504.05 8570-32 8570-34 8570-35 8570-37
OMB NO: 2070-0112 EXPIRATION DATE: 02/29/2008
RESPS:814,120 HOURS:824,778 COSTS(000):$0
PCBs: Consolidated Reporting and Recordkeeping Requirements
FORMS: 7710-53 7720-12 1446.08
OMB NO: 2070-0142 EXPIRATION DATE: 10/31/2007
RESPS:14 HOURS:303 COSTS(000):$0
Plant-Incorporated Protectants; CBI Substantiation and Adverse
Effects Reporting
FORMS: 1693.03
OMB NO: 2070-0143 EXPIRATION DATE: 01/31/2008
RESPS:4,920 HOURS:259,192 COSTS(000):$0
Toxic Chemical Release Reporting, Alternate Threshold for Low
Annual Reportable Amounts (Form A) (Renewal)
FORMS: ICR-1704.08
OMB NO: 2070-0145 EXPIRATION DATE: 02/29/2008
RESPS:10 HOURS:20 COSTS(000):$0
Correctonof Misreported Chemical Substances on the Toxic
Substances Control Act (TSCA) Chencal Substances Inventory
FORMS: 7710-3C 1741.04
OMB NO: 2070-0148 EXPIRATION DATE: 05/31/2008
RESPS:9,736,179 HOURS:2,293,364 COSTS(000):$0
Worker Protection Standard Training and Notification
FORMS: 1759.04
OMB NO: 2070-0151 EXPIRATION DATE: 11/30/2007
RESPS:12,576,000 HOURS:8,855,610 COSTS(000):$0
Residential Lead-Base Paint Hazardous Disclosure Requirements
FORMS: 1710.04
OMB NO: 2070-0155 EXPIRATION DATE: 02/29/2008
RESPS:83,468 HOURS:440,813 COSTS(000):$0
TSCA Section 402 and Section 404 Training and Certification,
Accreditation and Standards for Lead-Based Paint Activites
FORMS: 8500-25 8500-27 8500-28 1715.06
OMB NO: 2070-0156 EXPIRATION DATE: 06/30/2007
RESPS:18,274 HOURS:9,136 COSTS(000):$0
Voluntry Cover Sheet for TSCA Submissions
FORMS: 1780.03 7710.58
OMB NO: 2070-0158 EXPIRATION DATE: 02/29/2008
RESPS:2,482,000 HOURS:3,461,542 COSTS(000):$3,939
Lead-Based Paint Pre-Renovation Information Dissemination - TSCA
Sec. 406(b)
FORMS: 1669.04
OMB NO: 2070-0162 EXPIRATION DATE: 05/31/2009
RESPS:3,026 HOURS:413,575 COSTS(000):$0
Partial Update of the TSCA Section 8(b) Inventory Data Base,
Production and Site Reports
FORMS: 1884.03 U
OMB NO: 2070-0164 EXPIRATION DATE: 06/30/2008
RESPS:16 HOURS:28,569 COSTS(000):$0
Data Acquisition for Anticipated Residue and Percent of Crop
Treated
FORMS: 1911.02 8570-32 8570-34 8570-35
OMB NO: 2070-0165 EXPIRATION DATE: 07/31/2009
RESPS:70 HOURS:106,256 COSTS(000):$0
Data Submissions for the Voluntary Children's Chemical
Evaluation Program (VCCEP)
FORMS: ICR-2055.02
OMB NO: 2070-0166 EXPIRATION DATE: 08/31/2006
RESPS:1,880 HOURS:10,110 COSTS(000):$0
Reporting and Recordkeeping Requirements under EPA's Hospitals
for a healthy Environment (H2E) Program.
FORMS: 2088.01
OMB NO: 2070-0167 EXPIRATION DATE: 12/31/2007
RESPS:360 HOURS:10,670 COSTS(000):$0
Pesticide Registration Fee Waivers
FORMS: 2147.02
OMB NO: 2070-0169 EXPIRATION DATE: 01/31/2009
RESPS:62 HOURS:1,404 COSTS(000):$0
Submission of Protocols and study Reports for Environmental
Research Involving Human Subjects (Final Rule)
FORMS: ICR-2195.02
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
45 27,740,399 26,138,890 $3,943
Office of Research and Development
OMB NO: 2080-0005 EXPIRATION DATE: 05/31/2008
RESPS:19 HOURS:4,718 COSTS(000):$101
Application for Reference and Equivalent Method Determinaiton
(Renewal)
FORMS: 0559.08
OMB NO: 2080-0021 EXPIRATION DATE: 01/31/2007
RESPS:17,168 HOURS:180,335 COSTS(000):$3,350
Performance Evaluation Studies of Water and Waste Water Labora-
tories
FORMS: 0234.08
OMB NO: 2080-0068 EXPIRATION DATE: 09/30/2008
RESPS:14,000 HOURS:5,250 COSTS(000):$0
Health Effects of Microbial Pathogens in Recreational Waters;
National Epidemiological and Environmental Assessment of Recrea-
tional (NEEAR) Water Study (Renewal)
FORMS: ICR-2081.02
OMB NO: 2080-0069 EXPIRATION DATE: 09/30/2006
RESPS:1,000 HOURS:167 COSTS(000):$0
Seven County Study of Air Quality and Birth Defects: Computer-
Assisted Telephone Questionnaire for Subset of Study Population
FORMS: 2109.01
OMB NO: 2080-0071 EXPIRATION DATE: 06/30/2007
RESPS:430 HOURS:2,390 COSTS(000):$0
Detroit Exposure and Aerosol Research Study (DEARS)
FORMS: 2149.01
OMB NO: 2080-0072 EXPIRATION DATE: 07/31/2007
RESPS:216 HOURS:390 COSTS(000):$0
Longitudinal Study of Young Children's Exposures in their Homes
to Selectd Pesticides, Phthalates, Brominated Flame Retardants,
and Perfluorinated Chemicals (A Children's Environmental Exposure
FORMS: 2126.01
OMB NO: 2080-0073 EXPIRATION DATE: 12/31/2006
RESPS:110 HOURS:963 COSTS(000):$0
Application of Measures of Spontaneous Motor Activity for Be-
havioral Assessment in Human Infants
FORMS: 2166.01
OMB NO: 2080-0074 EXPIRATION DATE: 07/31/2008
RESPS:20,500 HOURS:8,250 COSTS(000):$0
Detroit Children's Health Study: Health Effects of Environmental
Exposure among Children Living in the Detroit, MI area.
FORMS: 2167.01
OMB NO: 2080-0076 EXPIRATION DATE: 12/31/2006
RESPS:60 HOURS:240 COSTS(000):$0
Market-based Stormwater Management in the Shepherd Creek Water-
shed in Cincinnati, OH.
FORMS: 2178.01
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
9 53,503 202,703 $3,451
Office of the Administrator
OMB NO: 2090-0019 EXPIRATION DATE: 08/31/2006
RESPS:19,609 HOURS:2,966 COSTS(000):$0
Voluntary Customer Service Satisfaction Surveys
FORMS: 1711.04
OMB NO: 2090-0025 EXPIRATION DATE: 08/31/2006
RESPS:3,600 HOURS:3,600 COSTS(000):$0
MBE/WBE Utilitization under Federal Grants, Cooperative, Agree-
ments and interagency agreements
FORMS: 2212.01 5700-52A
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
2 23,209 6,566 $0
AGENCY TOTALS:
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
399 72,687,639 145,404,323 $1,994,529
