Revised 1/30/2007 

### 1 PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET
PART I: Information Collection Request

This worksheet replaces the previous OMB 83-I form for Information Collection Requests (ICRs). This worksheet is intended to h elp ICR preparers transition between the paper 83-I system and use of the Information Collection Request, Review and Approval System (I CRAS)
for submitting ICRs to OMB. This form is not intended for submission to OMB. For additional guidance on completing this works heet, please see EPA’s ICR website at http://intranet.epa.gov/icrintra/ . There you will find the following documents: OEI’s ICRAS Instructions (under Prepare ICR Package tab) and OMB’s ROCIS IC Q&A (locat ed under the Download Guidance tab), as well as the contact inform ation for your appropriate ICR desk officer.

1. Agency/Subagency originating request: US EPA

2. Title: National Emission Standards for Hazardous Air Pollutant Emissions: Group I Polymers and Resins

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): 2060-0356

EPA ICR Number: 1746.02

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)

7. Abstract (4000 characters maximum, attach additional sheets as necessary): EPA has promulgated National Emission Standards for Hazardous Air Pollutants (NESHAP) for Group I Polymers and Resins. The standards are based on the maximum achievable control technology (MACT), and employ a market-based provision, "emissions averaging," which allows facilities flexibility to choose ce rtain emissions points to control in order to achieve the required emissions reductions in the most cost effective manner possible. Potential respondents subject to the NESHAP include an estimated 17 existing facilities that produce butyl rubber, epichlorohydrin, ethyl enepropylene rubber, Hypalon TM, neoprene rubber, nitrile butadiene rubber and latex, polybutadiene rubber, polysulfide rubber, an d styrenebutadiene rubber and latex. The total annual responses attributable to this ICR consist of applications for construction or re construction, notifications, precompliance reports, emissions averaging plans, descriptions of planned recordkeeping procedures, periodic rep orts, operating permit applications, performance test notifications and reports, and reports of startups, shutdowns, and malfunctions . No burden estimates are provided for new sources because no new facilit ies are expected to be affected sources during the next 3 y ears.Revised 1/30/2007 

### 2 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 – AE37 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 wil l enter this

information into ICRAS.

For ICRs associated with Interim Finals that are not signi ficant under EO 12866, please attach a draft of the rule.

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 Rulema king, OMB will not consider an ICR complete until the 30-day no tice has been published. The second notice will be published following OEI re view and approval of the ICR. OEI will enter this info rmation into ICRAS.

11. Annual Cost to Federal Government: 47717.00

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: Randy McDonald

Phone: 919-541-5402

E-mail: mcdonald.randy@epa.govRevised 1/30/2007 

### 3 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 repor ted; that is, provide a short statement addressing how the redu ction in burden was achieved or why the increase in burden occurred. (If you need mo re space, provide a short summary here and elaborate in the Supporting Statement.)

This is a reinstatement of an expired collection. Burden has decreased since the last approved co llection. The estimated burd en has decreased because the number of sources subject to the rule has decreased, and because all the sources subjec t to the rule are existing s ources which no longer incur the one-time burdens associated with initial implementat ion of the rule. This also incorporates changes due to pr oposed amendments.Revised 1/30/2007 

### 4 

## PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET

Part III: Information Collection Request Completeness Check

Complete this checklist prior to submi tting the information collecti on package to the Clearance Offi cer. The Clearance Officer will use the information contained in this checklist, along with other information, to certify the information collection prior to
submission to OMB.

The supporting statement (check all that apply):

a. Identifies the stat ute or regulation authorizing t he collection of the information

b. Describes efforts taken to avoid the collection of similar information already available, or collected

under a different information collection

c. Describes, if applicable, methods to minimize t he burden on small businesses or other small entities

d. Is written using plain English, and all terminology used is unambiguous and understandable to those required to respond to the collection

e. Indicates how long records specified in the collection are to be maintained by persons required to

maintain the records

f. Has dedicated resources to ensure the proper use and processing of the information being collected to enhance (as appropriate) the value of the information to 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 to reduce burden and where possible avoid unnecessary system and technology costs.Revised 1/30/2007 

### 5 

## PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET

Part IV: Certification

Certification for Paperwork Reduction Act Submissions

On behalf of this Federal agency, 1 certify that the collectio n of information encompassed by this request complies with'

5 CFR 1320.9.

NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b)(3), appear at the end of the instructions. The certification is to be made with reference to those regu latory provisions as set forth in the instructions.

The following is a summary of the topics, regarding the proposed collection of information, t hat the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous te rminology that is underst andable to respondents;

(e) Its implementation will be cons istent and compatible with current re porting and recordkeeping practices;

(f) It indicates the retention pe riods for recordkeep ing requirements;

(g) It informs respondents of the informa tion called for under 5 CFR 1320.8(b)(3): (I) Why the information is being collected’ (ii) Use of information; (iii) Burden estimate; (iv) Nature of respon se (voluntary, required for a benefit, or mandatory); (v) Nature and extent of confidentiality; and (vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allo cated resources for the efficient and effective management

and use of the in formation to be collected (see note in Item 19 of the instructions);

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

(j) It makes appropriate use of information technology.

Signature of Program Official Date

Signature of Senior Offici al or designee Oscar Morales, Director Collection Strategies Divisi on Office of Environmental Information DateRevised 1/30/2007 

### 6 5 CFR 1320.9 reads “As part of the agency s ubmission to OMB of a proposed collection of information, the agency (through the he ad of the agency, the Seni or Official or their designee) shall certify (and provid e a record supporting such certification) that the proposed

collection of information --

“(a) is necessary for the proper performance of the functi ons of the agency, including that the information to be collecte d will have practical utility;

“(b) is not unnecessarily duplicative of informa tion otherwise reasonably accessible to the agency;

“(c) reduces to the extent practicable and appropriate th e burden on persons who shall provide information to or for the a gency, including with respect to small entities, as defined in the Regu latory Flexibility Act 5 U.S.C § 601(6)), the use of such techn iques as:

“(1) establishing differing compliance or reporting requirements or timetables that take into account the resources available to those who are to respond; “(2) the clarification, consolid ation, or simplification of compliance and repo rting requirements; or collection of information

, or any part thereof; “(3) an exemption from coverage of the collec tion of information, or any part thereof;

“(d) is written using plain, coherent, and unambiguous te rminology and is understandable to those who are to respond;

“(e) is to be implemented in ways consistent and compat ible, to the maximum extent practicable, with the existing reporti ng and recordkeeping practices of those who are to respond;

“(f) indicates for each recordkeeping requirement the le ngth of time persons are required to maintain the records specif ied;

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

“(h) has been developed by an office that has planned and allocated resources for the e fficient and effective management and use of the information to be collected, including the processing of t he information in a manner which shall enhance, where appropria te, the utility of the information to agencies and the public;

“(I) uses effective and effici ent statistical survey methodology appropriate to the purpose for which the information i s to be collected;

and

“(j) to the maximum extent practicable, uses appr opriate information technology to reduce burden and improve data qualit y, agency efficiency and responsiveness to the public.”

NOTE: 5 CFR 1320.8(b)(3) requires that each collection of information:

“(3) informs and provides reasonable notice to the pot ential persons to whom the collection of information is addressed of: “(I) the reasons the information is planned to be and/or has been used to further t he proper performance of the functions of the agency; “(ii) the way such information is planned to be and/or has been used to further the proper perfo rmance of the functions of the agency; “(iii) an estimate, to the extent practicable, of the average burden of the collecti on (together with a request that the pub lic direct to the agency any comments concerni ng the accuracy of this burden estimate and any suggestions for reducing this burden); “(iv) whether responses to the collection of information are volu ntary, required to obtain or retain a benefit (citing authorit y), or mandatory (citing authority); “(v) the nature and extent of confidentiality to be provided, if any (citing authority); and “(vi) the fact that any agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.”