The public reporting burden for this collection of information is
estimated to average up to 2.75 hours per response.  Send comments on
the Agency's need for this information, the accuracy of the provided
burden estimates, and any suggested methods for minimizing respondent
burden, including through the use of automated collection techniques to
the Director, Collection Strategies Division, U.S. Environmental
Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C.
20460.  Include the OMB control number in any correspondence.  Do not
send the completed form to this address.

OMB Control No. 2060-0347

