Revised 9/1/2006 1

PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET

Part II: Information Collection Detail

IMPORTANT: Aseparate Part I I must be completed for each Information Collection (I C) activity associated with the ICR. I f more than one

Part I I i s required, create a separate Part I I document for each I C. For more information see OEI s ICRwebsite at

http://intranet .epa.gov/icrintra/. There you will find information on completing this form(see OEI s ICRASinstructions under the Prepare

an ICRtab) and information on howbreak your ICRinto ICs (see OMBs ROCISI CQ&Aunder the Download Guidance tab).

1. Title of Information Collection: New Source Performance Standards for Nitric Acid Plants (Subpart Ga)

2. I s this a common form? 

 Yes

 No

(Select Yes t o identify forms that

EPAi s willing t o host for potential

use by other Federal Agencies.)

3. Obligation t o respond (check one):

 Voluntary

 Required to obtain or retain benefits

 Mandatory

Note: Only one selection may be made. If multiple 

categories apply, you must create additional ICs to 

account for the burden associated with each 

category.

4. Frequency of reporting (only t o be completed

i f there are reporting requirements, check all

that apply): 

 Hourly

 Daily

 Weekly

 Monthly

 Yearly

 Every Decade

 Quarterly

 Semi-Annually

 Biennially

 Once

 Occasionally

5. CFR Citation(s) for the information collection under review (if applicable):

Title Part Section 

Title Part Section 

Title Part Section 

Title Part Section 
Revised 9/1/2006 2

6. Information Collection Instruments/Forms (if applicable) :

Form Name: 

Form Number: 

URL (required if electronic) : 

Is this form available electronically? Yes No If yes, can this form be submitted electronically? Yes No

Form Name: 

Form Number: 

URL (required if electronic) : 

Is this form available electronically? Yes No If yes, can this form be submitted electronically? Yes No

Form Name: 

Form Number: 

URL (required if electronic) : 

Is this form available electronically? Yes No If yes, can this form be submitted electronically? Yes No

Attach additional sheets if necessary.

Note: Instruments/Forms must be submitted/uploaded as a separate attachment.
Revised 9/1/2006 3

7. Federal Enterprise Architecture Business Reference Model :

Line of Business (check one) : Subfunction (check one) :

 Environmental Management Environment al Monitoring and Forecasting

 Environmental Remediation

 Pollution Prevention and Control

Health Illness Prevention

 Immunization Management

 Public Health Monitoring

 Health Care Services

 Consumer Health and Safety

 Natural Resources Water Resource Management

 Conservation, Marine and Land Management

 Recreational Resource Management and Tourism

 Agricultural Innovation and Services

Note: Most EPAICRs will be aligned with the Environmental Management FEALine of Business. Other likely categories are also listed. For a

full listing of the FEABusiness Reference Model categories and definitions, see:

http://www.whitehouse.gov/omb/egov/documents/FY07_Ref_Model_Mapping_QuickGuide.pdf.

8. Privacy Act Systemof Records (i f applicable) :

Title: 

Federal Register Citation: Volume Page Number Publication Date 

9. Respondents

Total Number: 4

Small Entity Number: 0

Percentage of responses collected electronically: 10

Affected Public (check one) :

 Individuals or Households

 Private Sector (i f private sector, check all that apply)

 Business or other for -profit

 Not -for -profit institutions

 Farms

 State, Local , or Tribal Governments

 Federal Government

Note: Only one selection may be made. I f multiple categories apply, 

you must create additional ICs t o account for the burden associated

with each category. Selecting multiple subcategories within

“Private Sector” will not af fect then number of ICs required.

10. Frequency: Howoften on average will each respondent respond t o

the Information Collection?
Revised 9/1/2006 4

Number of Respondents 1.2 per 

 

 

 

 Year

 Hour Business

hour

 Day Business

Day

 Week Month

 Decade Quarter

 Half -

year

Calculated Annual Frequency: 20

 (responses per respondent per year )

Calculated Annual Number of Responses: 24

11. Hour and Cost Burden: Enter the hours and cost (per response) broken out by reporting, record keeping, and third party disclosure:

Hours per Response Total Annual Hour Burden Cost per Response Total Annual Cost Burden

Reporting 30.8 739.2

$9,023 $216,552

Recordkeeping 4.7 112.8

$11.75 $282

Third Party Disclosure 0 0

$0 0

Total 35.5 852 $9,035 $216,834

IMPORTANT: “Cost per Response” and “Total Annual Cost Burden” should include Capital /Startup and O&Mcosts only.
Revised 9/1/2006 5

12. Annual Responses and Burden Change

Total Requested

ProgramChange

due t o New

Statute

ProgramChange

due t o Agency

Discretion

Change due t o

Adjustment i n

Agency Estimate

Change due t o

Violation of

the PRA

Currently

Approved

Annual

Responses

24 24 0

Annual Hour

Burden

852 852 0

Annual Cost

Burden

$216,834 $216,834 0
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PAPERWORKREDUCTIONACT SUBMISSIONWORKSHEET

PART I : Information Collection Request

This worksheet replaces the previous OMB83-I formfor Information Collection Requests (ICRs). This worksheet i s intended t o help ICR

preparers transition between the paper 83-I systemand use of the Information Collection Request , Reviewand Approval System(ICRAS) for

submitting ICRs t o OMB. This formi s not intended for submission t o OMB. For additional guidance on completing this worksheet , please see

EPAs ICRwebsite at http://intranet .epa.gov/icrintra/. There you will find the following documents: OEI s ICRASInstructions (under

Prepare ICRPackage tab) and OMBs ROCISI CQ&A(located under the Download Guidance tab), as well as the contact information for your

appropriate ICRdesk officer.

1. Agency/Subagency originating request: EPA/OAQPS/SPPD 

2. Title: New Source Performance Standards for Nitric Acid Plants (Subpart Ga)

3. Type of Information Collection (check one):

 New collection

 Extension of a currently approved collection

 Revision of a currently approved collection

 Nonmaterial or non-substantive change to a currently approved collection

 (formerly called the 83-C)

4. OMB Control Number (OCN): 

 EPA ICR Number:

5. Type of review requested (check one):

 Regular

 Emergency – Approval Requested by: (mm/dd/yy)

 Delegated

(If emergency, please submit justification as a separate attachment)

6. Requested expiration date (check one):

 Three years from approval date

 Six Months from approval date (maximum for emergency)

 Other, please specify: (mm/yy)
Revised 1/30/2007 2

7. Abstract (4000 characters maximum, attach additional sheets as necessary): Potential respondents are owners or operators of new nitric acid 

production units. It is estimated that an additional 4 newly constructed nitric acid production units will become subject to the regulation in 

the next three years. Plants can have more than nitric acid production unit onsite.

The proposed amendments would reduce the allowable NOX emission limit to 0.50 pound per ton of acid produced.

The proposed amendments require the installation of a continuous emission measurement system (CEMS) for NOX emissions a nd a gas 

flow rate monitor for gas flow rate from the stack.

8. Citations for Authorizing Statute(s):

a. Public Law

 Name of law: Clean Air Act

 Citation: 42 USC 7401 et seq - Sec 112

b. US Code 

 Name of Law: 

 Citation: USC: 

c. Executive Order

 Name/Subject of EO: 

 Citation: EO

 

d. Statute at Large

 Name of Statute: 

 Citation: Stat

9. Associated Rulemaking Information (For Rule Related ICRs Only):

 RIN: 2060 – AQ10 SAN: Stage of Rulemaking (check one): 

 Proposed Rule 

 Interim Final or Final Rule 

 

For a Proposed Rule, OMB will not consider an ICR complete until the Notice of Proposed Rulemaking has been published. OEI will enter this 

information into ICRAS.

For ICRs associated with Interim Finals that are not significant under EO 12866, please attach a draft of the rule.
Revised 1/30/2007 3

10. Federal Register Notices & Comments:

Federal Register Citation (For Non-Rule Related and Renewal ICRs Only):

60-day Notice: Volume: Page number: Publication Date: 

(30-day Notice: Volume: Page number: Publication Date )

Did the Agency receive public comments on this ICR? Yes No

Unless submitted as an Emergency ICR or Associated with a Rulemaking, OMB will not consider an ICR complete until the 30-day notice

has been published. The second notice will be published following OEI review and approval of the ICR. OEI will enter this information into ICRAS.

11. Annual Cost to Federal Government: 4010.00

12. Does this ICR contain surveys, censuses, or employ statistical methods? Yes No

(If Yes, please attach Supporting Statement, Part B)

13. Is a Privacy Impact Assessment required by the E-Government Act of 2002 for this ICR? Yes No

(A PIA is needed for a new, electronic collection of information.)

14. Agency Contact:

 

 Name: Bill Neuffer

 

 Phone: 919.541.5435

 

 E-mail: neuffer.bill@epa.gov
Revised 1/30/2007 4

15. Change in Burden:

 

A. Program Change Due to a New Statute

If change in burden is a Program Change Due to a New Statute, identify the Citations for the New Statutory Requirements:

a. Public Law

 Name of law: 

 Citation: - Sec 

b. US Code 

 Name of Law: 

 Citation: USC: 

c. Executive Order

 Name/Subject of EO: 

 Citation: EO

 

d. Statute at Large

 Name of Statute: 

 Citation: Stat

B. Program Change Due to Agency Discretion

If change in burden is a DECREASE because of a Program Change due to Agency Discretion, please categorize the decrease (select one):

 Cutting Redundancy

 Using Information Technology

 Changing Regulations

 Changing Forms

 Miscellaneous Actions

If change in burden is a INCREASE because of a Program Change due to Agency Discretion, please categorize the increase (select one):

 Changing Regulations 

 Miscellaneous Actions 

C. Explanation of Change in Burden

Explain the reasons for any program changes or adjustments reported; that is, provide a short statement addressing how the re duction in burden 

was achieved or why the increase in burden occurred. (If you need more space, provide a short summary here and elaborate in the Supporting 

Statement.)

For the proposed amendments t o the Nitric Acid NSPS, additional equipment and monitoring activities are required.
Revised 1/30/2007 5

PAPERWORKREDUCTIONACT SUBMISSIONWORKSHEET

Part III : Information Collection Request Completeness Check

Complete this checklist prior t o submitting the information collection package t o the Clearance Officer. The

Clearance Officer will use the information contained i n this checklist , along with other information, t o certify

the information collection prior t o submission t o OMB. 

The supporting statement (check all that apply):

a. Identifies the statute or regulation authorizing the collection of the information

b. Describes efforts taken t o avoid the collection of similar information already available, or

collected under a different information collection

c. Describes, i f applicable, methods t o minimize the burden on small businesses or other small

entities

d. I s written using plain English, and all terminology used i s unambiguous and understandable t o

those required t o respond t o the collection

e. Indicates howlong records specified i n the collection are t o be maintained by persons

required t o maintain the records

f . Has dedicated resources t o ensure the proper use and processing of the information being

collected t o enhance (as appropriate) t he value of the information t o agencies and the public.

g. Indicates the use of a statistical survey method (i f applicable) that produces valid and

reliable results while minimizing undue burden.

h. Describes the intended use of information technology t o reduce burden and where possible

avoid unnecessary systemand technology costs.
Revised 1/30/2007 6
Revised 1/30/2007 7

PAPERWORKREDUCTIONACT SUBMISSIONWORKSHEET

Part I V: Certification

Certification for Paperwork Reduction Act Submissions

On behalf of this Federal agency, 1 certify that the collection of information encompassed by this request complies with’

5 CFR1320.9.

NOTE: The text of 5 CFR1320.9, and the related provisions of 5 CFR1320.8(b)(3), appear at the end of the instructions. 

The certification i s t o be made with reference t o those regulatory provisions as set forth i n the

instructions.

The following i s a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) I t i s necessary for the proper performance of agency functions;

(b) I t avoids unnecessary duplication;

(c) I t reduces burden on small entities;

(d) I t uses plain, coherent , and unambiguous terminology that i s understandable t o respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f ) I t indicates the retention periods for recordkeeping requirements;

(g) I t informs respondents of the information called for under 5 CFR1320.8(b)(3):

(I ) Why the information i s being collected

(i i ) Use of information;

(iii ) Burden estimate;

(i v) Nature of response (voluntary, required for a benefit , or mandatory);

(v) Nature and extent of confidentiality; and

(vi ) Need t o display currently valid OMBcontrol number;

(h) I t was developed by an office that has planned and allocated resources for the efficient and effective

management

 and use of the information t o be collected (see note i n Item19 of the instructions);

(I ) I t uses effective and efficient statistical survey methodology; and

(j ) I t makes appropriate use of information technology.
Revised 1/30/2007 8

Signature of ProgramOfficial Date

Signature of Senior Official or designee 

Oscar Morales, Director

 

Collection Strategies Division

 Office of

Environmental Information

Date
Revised 1/30/2007 9

5 CFR1320.9 reads “As part of the agency submission t o OMBof a proposed collection of information, the agency (through the

head of the agency, the Senior Official or their designee) shall certify (and provide a record supporting such certification)

that the proposed collection of information --

 “ (a) i s necessary for the proper performance of the functions of the agency, including that the information t o be

collected will have practical utility;

 “ (b) i s not unnecessarily duplicative of information otherwise reasonably accessible t o the agency;

 “ (c) reduces t o the extent practicable and appropriate the burden on persons who shall provide information t o or for the

agency, including with respect t o small entities, as defined i n the Regulatory Flexibility Act 5 U.S.C§ 601(6)), the use of

such techniques as:

“ (1) establishing differing compliance or reporting requirements or timetables that take into account the

resources available t o those who are t o respond;

“ (2) the clarification, consolidation, or simplification of compliance and reporting requirements; or collection

of information , or any part thereof ;

“ (3) an exemption fromcoverage of the collection of information, or any part thereof ;

 “ (d) i s written using plain, coherent , and unambiguous terminology and i s understandable t o those who are t o respond;

 “ (e) i s t o be implemented i n ways consistent and compatible, t o the maximumextent practicable, with the existing

reporting and recordkeeping practices of those who are t o respond;

 “ (f ) indicates for each recordkeeping requirement the length of time persons are required t o maintain the records

specified;

 “ (g) informs potential respondents of the information called for under § 1320.8(b)(3); [see below]

 “ (h) has been developed by an office that has planned and allocated resources for the efficient and effective management

and use of the information t o be collected, including the processing of the information i n a manner which shall enhance, 

where appropriate, the utility of the information t o agencies and the public;

 “ (I ) uses effective and efficient statistical survey methodology appropriate t o the purpose for which the information

i s t o be collected; and

 “ (j ) t o the maximumextent practicable, uses appropriate information technology t o reduce burden and improve data

quality, agency efficiency and responsiveness t o the public.”

NOTE: 5 CFR1320.8(b)(3) requires that each collection of information:

 “ (3) informs and provides reasonable notice t o the potential persons t o whomthe collect ion of information i s addressed

of :

“ (I ) the reasons the information i s planned t o be and/or has been used t o further the proper performance of the

functions of the agency;
Revised 1/30/2007 10