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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 Hydronic Heaters and ForcedAir Furnaces EPA ICR Number 2442.02 OMB Control Number 2060-0693 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]? NoIs 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 hydronic heaters and forced-air furnaces (40 CFR part 60, subpart QQQQ). 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 79FR 6330 Did the Agency receive public comments on this ICR? Yes Annual Cost to Federal Government: $ 28,630.00 $ **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: New 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 40CFR 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 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)**

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**Frequency of Reporting:(select as many as applicable)

Total Number of Respondents: 41 Number of these which are small entities: >95% Percentage of Respondents Reporting Electronically: (%) 100% Number of Responses per Respondent (per year): 4.8536585366 **Total Annual Responses: 199.00**  **Burden per Response** Hours Per Response Cost Per Response ($) Reporting 8.38 16,036.12 $ Recordkeeping 3.37 - $ Third-Party Disclosure 0.00 - $ **TOTAL 11.75**  **16,036.12 $**  **Annual Burden** Annual Time Burden (Hours) Annual Non-Labor Cost ($) Reporting 1667.00 3,191,188.00 $ Recordkeeping 671.00 - $ Third-Party Disclosure 0.00 - $ **TOTAL 2338.00**  **3,191,188.00 $**  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 199 199 0 0 Annual Time Burden (Hour) 2338 2338 0 0 **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:**  **Respondents**

**Responses** Hourly Daily Weekly Yearly Monthly Every Decade Semi-Annually Quarterly Biennially Only Once On Occasion / As NecessaryAnnual Cost Burden

(Dollars) 3,191,188 $ 3,191,188 $
- $
- $ 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

## Add any notes or information that could not be entered on previous worksheets: