OMB
Control
No.
2040­
0101
Expires:
December
31,
2000
COVER
SHEET
INFORMATION
COLLECTION
REQUEST
FOR
QUESTIONNAIRE
FOR
NOMINEES
FOR
THE
ANNUAL
NATIONAL
CLEAN
WATER
ACT
RECOGNITION
AWARDS
(
WASTEWATER
MANAGEMENT
EXCELLENCE
AWARDS),

EPA
ICR
#
1287.06
PREPARED
BY:

OWM/
MSD/
MAB
i
SUPPORTING
STATEMENT
TABLE
OF
CONTENTS
Page
Number
Section
1:
Identification
of
the
Information
Collection
1(
a)
Title
of
the
Information
Collection
1
1(
b)
Short
Characterization/
Abstract
1
Section
2:
Need
for
and
Use
of
the
Collection
2(
a)
Need/
Authority
for
the
Collection
2
2(
b)
Practical
Utility/
Users
of
the
Data
2
Section
3:
Non­
duplication,
Consultations,
and
Other
Collection
Criteria
3(
a)
Non­
duplication
2
3(
b)
Public
Notice
Required
Prior
to
ICR
Submission
to
OMB
2
3(
c)
Consultations
2
3(
d)
Effects
of
Less
Frequent
Collection
3
3(
e)
General
Guidelines
3
3(
f)
Confidentiality
3
3(
g)
Sensitive
Questions
3
Section
4:
The
Respondents
and
the
Information
Requested
4(
a)
Respondents/
SIC
Codes
4
4(
b)
Information
Requested
4
i)
Data
items,
including
record
keeping
requirements
4
ii)
Respondent
Activities
4
Section
5:
The
Information
Collected
 
Agency
Activities,
Collection
Methodology,
and
Information
Management
5(
a)
Agency
Activities
4
5(
b)
Collection
Methodology
and
Management
4
5(
c)
Small
Entity
Flexibility
5
5(
d)
Collection
Schedule
5
Section
6:
Estimating
the
Burden
and
Cost
of
the
Collection
5
6(
a)
Collection
Burden
for
Respondents
6
6(
b)
Estimated
Review
Burden
of
States
Per
Response
6
6(
c)
Summary
of
Federal
Salaries
7
6(
d)
Summary
of
Federal
Travel
to
National
Awards
Conference
7
6(
e)
Federal
Recognition
Awards
Cost
Summary
7
6(
f)
Aggregate
Burden
For
Respondents
and
States
Activities
8
6(
g)
Reasons
for
Change
in
Burden
8
6(
h)
Burden
Statement
8
ii
