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Please contact your ICR Desk Officer if you have questions while filling out this workbook.

ICR Desk Officer List

This Excel workbook is intended to replace many of the functionalities of the previous system (ICRAS) used to send 

Information Collection Requests (ICRs) to reviewers in the Office of Environmental Information, and mimics the online 

forms that must accompany ICR submissions to OMB.

Step-by-Step Instructions:

Email this completed workbook to your OEI Desk Officer along with all other supporting documents CLEARLY LABELED, 

such as:

Save this workbook with a new filename reflecting the following format: “2060.07 Forms.xlsx” (e.g. for ICR #2060.07)

Use the “Notes” tab to capture any relevant information that could not be included on the Part 1 & 2 forms, or which 

would be useful to the OEI Desk Officers reviewing your package.

Complete Part 2. This form requests specific details about the scope and burden of the information that you will be 

collecting. Your ICR may have several Part 2 forms to cover specific types of Information Collections (ICs). At minimum, 

the burden on different categories of respondents (i.e. Private sector, Individuals, State/Local/Tribal governments) 

must be divided into individual Part 2 IC forms. However, you may choose or need to break down your ICR burden 

further in order to clearly characterize different types of response.

Complete Part 1. This form gathers basic information about your ICR.

If you are renewing or revising an existing approved ICR, go to http://www.reginfo.gov/public/do/PRASearch and find 

the record of your previous ICR submission. Sort results by “Current Expiration Date” to ensure that you pull up the 

most recent version of your ICR.
http://www.reginfo.gov/public/do/PRASearch

Consult RegInfo.gov to see how many ICs were used previously (if renewing or revising an ICR). Create as many 

copies of the blank Part 2 worksheet as needed before starting. (To do this, right-click on the “Part 2” tab, select 

“Move or Copy”, then check the “Create a copy” box before hitting “OK”.)

Fill out the Part 2 IC form with information from your Supporting Statement. You may also reference RegInfo.gov 

to copy over information that will not be changing from your previous approved ICR.

If renewing or revising an existing ICR, enter the currently approved total number of responses, burden and nonlabor cost from RegInfo.gov into cells G78-G80. The rest of the “Burden Worksheet” section should be taken 

from your new supporting statement.

Supporting Statement A (and B, if required)

Draft (unsigned) 2nd Federal Register Notice

All forms & instruments listed in Part 2 

Misc. Supporting Documents (such as separate appendices)

A copy of the Final Rule document (only for Final Rule ICRs being submitted to OMB in advance of rule 

publication)

Please contact your ICR Desk Officer if you have questions while filling out this workbook.

ICR Desk Officer List

This Excel workbook is intended to replace many of the functionalities of the previous system (ICRAS) used to send 

Information Collection Requests (ICRs) to reviewers in the Office of Environmental Information, and mimics the online 

forms that must accompany ICR submissions to OMB.

Instructions for using ICRAS Jr.

**Please fill out the workbook using information from your completed ICR Supporting Statement.**

Step-by-Step Instructions:

Email this completed workbook to your OEI Desk Officer along with all other supporting documents CLEARLY LABELED, 

such as:

Save this workbook with a new filename reflecting the following format: “2060.07 Forms.xlsx” (e.g. for ICR #2060.07)

Use the “Notes” tab to capture any relevant information that could not be included on the Part 1 & 2 forms, or which 

would be useful to the OEI Desk Officers reviewing your package.

Complete Part 2. This form requests specific details about the scope and burden of the information that you will be 

collecting. Your ICR may have several Part 2 forms to cover specific types of Information Collections (ICs). At minimum, 

the burden on different categories of respondents (i.e. Private sector, Individuals, State/Local/Tribal governments) 

must be divided into individual Part 2 IC forms. However, you may choose or need to break down your ICR burden 

further in order to clearly characterize different types of response.

Complete Part 1. This form gathers basic information about your ICR.

If you are renewing or revising an existing approved ICR, go to http://www.reginfo.gov/public/do/PRASearch and find 

the record of your previous ICR submission. Sort results by “Current Expiration Date” to ensure that you pull up the 

most recent version of your ICR.

Office: OAR

Title of ICR: NSPS for New Residential Wood Heaters

EPA ICR Number 1176.12

OMB Control Number 2060-0161

Type of Information Collection: Revision (e.g. Rules, Renewal with Program Change)

Type of Review Requested: Regular

Requested expiration date: Three years from approval date

Does this ICR contain surveys, censuses, or 

employ statistical methods? No

Does the Supporting Statement serve as a Joint 

ICR and Privacy Impact Assessment per OMB 

Memorandum 03-22, Section II.D.? No

Is this ICR related to the Affordable Care Act 

[PPACA, P.L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Act [DoddFrank Wall Street Reform and Consumer 

Protection Act, P.L. 111-203]? No

Is this ICR related to the American Recovery 

and Reinvestment Act of 2009 (ARRA)? No

Name: David Cole

Email: cole.david@epa.gov

Phone: (919) 541-5565

Abstract:

Authorizing Statute(s):

Basic Information about your ICR

Agency Contact

If Other, please specify date or 

# of months from approval 

date:

If Emergency, please provide 

justification:

This ICR covers information collection requirements included in the final amended NSPS 

for new residential wood heaters (40 CFR part 60, subpart AAA). The information 

collected will be used to determine compliance status of the affected facilities subject to 

the final rule.

Abstract

Legal Statutes
If more than one statute applies, or the statute 

is not on list, enter name and legal citation: 

(otherwise leave blank)

RIN

Stage of Rulemaking: Interim Final or Final Rule

Publication Date Volume Page Number

60-Day Notice: 2/3/2014 79 FR 6330

Did the Agency receive public comments on 

this ICR? Yes

Annual Cost to Federal Government: $ $ 32,603.00

END OF PART 1. PLEASE PROCEED TO FILL OUT DETAILS OF BURDEN ON THE PART 2 WORKSHEET(S)

Rulemaking

Federal Register Notices & Public Comments FR Citation

Section 111 of the Clean Air Act.
IC Title:

IC Status: Modify Existing IC

Obligation to Respond: Mandatory

Must enter at least one CFR citation, unless your collection does not have basis in a regulation.

If more than 10 citations, please record them in the "Notes" tab

Title Part

40 CFR 60

CFR

CFR

CFR

CFR

CFR

CFR

CFR

CFR

CFR

List individually any instruments used in this collection, and attach a copy of them (clearly titled) with your submission.

If more than 5 instruments, please record them in the "Notes" tab.

Document Type Form Number Form Name 

Available 

Electronically? 

Can Be Submitted 

Electronically? Electronic Capability URL

Federal Enterprise 

Architecture Line of 

Business

Title: 

FR Citation:

Affected Public: Private Sector

Privacy Act System of Records 

Fill out ONLY if the information collected will be housed in a system 

subject to the Privacy Act. (rare)

Burden Worksheet

Recordkeeping and Reporting Requirements

Part 2 - Details of a specific Information Collection (IC)

CFR Citation(s)

Information Collection Instruments (e.g. Reporting Forms, Surveys, Focus Group Scripts)
Frequency of Reporting: (select as many as applicable)

Total Number of 

Respondents: 72

Number of these which are 

small entities: >95%

Percentage of Respondents 

Reporting Electronically: 

(%) 100%

Number of Responses per 

Respondent (per year):

3.4166666667

Total Annual Responses: 246.00

Burden per Response Hours Per Response Cost Per Response ($)

Reporting 7.77 $ 5,961.13

Recordkeeping 4.21 $ -

Third-Party Disclosure 0.00 $ -

TOTAL 11.98 $ 5,961.13

Annual Burden Annual Time Burden (Hours) Annual Non-Labor Cost ($) 

Reporting 1912.00 $ 1,466,438.00

Recordkeeping 1035.00 $ -

Third-Party Disclosure 0.00 $ -

TOTAL 2947.00 $ 1,466,438.00

Enter "Previously Approved" from last approval from RegInfo.gov. Then attribute the difference in burden by category if other than change in estimates.

Total Requested (from above) New Statute 

Agency Actions 

(New Rules, etc.)

Potential 

Violation of the 

PRA Revised Estimates Previously Approved 

Annual Number of 

Responses 246 246 -282 282

Annual Time Burden (Hour) 2947 2947 -11749 11749

Respondents

Responses

Burden Calculations

Enter burden and costs in "Annual" section below. Burden per response will be auto-calculated.

Burden Summary and Reason for Change in Burden

Change due to:

Hourly

Daily

Weekly

Yearly

Monthly

Every Decade

Semi-Annually

Quarterly

Biennially

Only Once

On Occasion / As Necessary
Annual Cost Burden 

(Dollars) $ 1,466,438 $ 1,466,438 $ (1,736,075) $ 1,736,075

Briefly explain the reason(s) for any changes from the previously approved estimates; that is, how the reduction or increase in burden was achieved.

Please categorize the burden increase due to Agency Actions

END OF THIS PART 2 IC. IF YOUR ICR REQUIRES MORE THAN ONE PART 2 IC, PLEASE MAKE A COPY OF THIS WORKSHEET WITHIN THE WORKBOOK.

Changing Regulations

The predominant reason for changes in costs/burden is the result of revisions to the NSPS (program changes), the most significant of which is the 

use of third-party certifiers, the staggered compliance requirements, and efforts made to streamline reporting and recordkeeping requirements.
Add any notes or information that could not be entered on previous worksheets: