PAPERWORK
REDUCTION
ACT
SUBMISSION
Please
read
the
instructions
before
completing
this
form.
For
additional
forms
or
assistance
in
completing
this
form,
contact
your
agency's
Paperwork
Clearance
Officer.
Send
two
copies
of
this
form,
the
collection
instrument
to
be
reviewed,
the
Supporting
Statement
and
any
additional
documentation
to:
Office
of
Information
and
Regulatory
Affairs,
Office
of
Management
and
Budget,
Docket
Library,
Room
10102,
725
17th
Street
NW
Washington,
DC
20503.

1.
Agency/
Subagency
originating
request
EPA
\
Office
of
Enforcement
and
Compliance
Assurance
\
Office
of
Compliance
2.
OMB
control
number
b.
G
None
a
2060­
0340
__
__
__
__

3.
Type
of
information
collection
(
check
one)
a.
G
New
collection
b.
G
Revision
of
a
currently
approved
collection
c.
X
Extension
of
a
currently
approved
collection
d.
G
Reinstatement,
without
change,
of
a
previously
approved
collection
for
which
approval
has
expired
e.
G
Reinstatement,
with
change,
of
a
previously
approved
collection
for
which
approval
has
expired
f.
G
Existing
collection
in
use
without
an
OMB
control
number
4.
Type
of
review
requested
(
check
one)
a.
X
Regular
b.
G
Emergency
­
Approval
requested
by:
/
/
c.
G
Delegated
5.
Small
entities
Will
this
information
collection
have
a
significant
economic
impact
on
a
substantial
number
of
small
entities?
X
Yes
G
No
For
b­
f,
note
item
A2
of
Supporting
Statement
Instructions
6.
Requested
expiration
date
a.
X
Three
years
from
approval
date
b.
G
Other
Specify:
/
/___

7.
Title
NESHAP
for
Petroleum
Refineries,
40
CFR
Part
63,
Subpart
CC
8.
Agency
form
number(
s)
(
If
applicable)
ICR#:
1692.04
9.
Keywords
Clean
Air
Act,
Environmental
Protection,
Air
Pollution
Control
10.
Abstract
The
respondents
to
the
information
collection
are
owners
or
operators
of
facilities
subject
to
the
petroleum
refineries
NESHAP.
The
information
is
requested
by
the
agency
to
determine
compliance
with
the
rule.
The
information
will
be
used
by
enforcement
agencies
mandated
by
the
clean
air
act
11.
Affected
public
(
Mark
primary
with
"
P"
and
all
others
that
apply
with
"
X")
a.
Individuals
or
households
d.
Farms
b.
P
Business
or
other
for­
profit
e.
X
Federal
Government
c.
Not­
for­
profit
institutions
f.
X
State,
Local
or
Tribal
Government
12.
Obligation
to
respond
(
Mark
primary
with
"
P"
and
all
others
that
apply
with
"
X")
a.
G
Voluntary
b.
G
Required
to
obtain
or
retain
benefits
c.
P
Mandatory
13.
Annual
reporting
and
recordkeeping
hour
burden
a.
Number
of
respondents
157
b.
Total
annual
responses
314
1.
Percentage
of
these
responses
collected
electronically
50
%
c.
Total
hours
requested
469,430
d.
Current
OMB
inventory
493,000
e.
Difference
(
23,570)
f.
Explanation
of
difference
1.
Program
Change
0
2.
Adjustment
(
23,570)
14.
Annual
reporting
and
recordkeeping
cost
burden
(
in
thousands
of
dollars)

a.
Total
annualized
capital/
startup
costs
542
b.
Total
annual
costs
(
O&
M)
0
c.
Total
annualized
cost
requested
542
d.
Current
OMB
inventory
570
e.
Difference
(
28)
f.
Explanation
of
difference
1.
Program
change
0
2.
Adjustment
(
28)

15.
Purpose
of
information
collection
(
Mark
Primary
With
"
P"
and
all
others
that
apply
with
"
X")
a.
__
Application
for
benefits
e.
__
Program
planning
or
management
b.
__
Program
evaluation
f.
__
Research
c.
__
General
purpose
statistics
g.
P
Regulatory
or
compliance
d.
_
X_
Audit
16.
Frequency
of
recordkeeping
or
reporting
(
check
all
that
apply)
a.
X
Recordkeeping
b.
Q
Third
party
disclosure
c.
X
Reporting
1.
X
On
occasion
2.
Q
Weekly
3.
Q
Monthly
4.
Q
Quarterly
5.
X
Semi­
annually
6.
Q
Annually
7.
Q
Biannually
8.
X
Other
(
describe)

17.
Statistical
methods
Does
this
information
collection
employ
statistical
methods?

Q
Yes
X
No
18.
Agency
contact
(
person
who
can
best
answer
questions
regarding
the
content
of
this
submission)
Name:
Dan
Chadwick
Phone:
202­
564­
7054
OMB
83­
I
10/
95
