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 help ICR preparers**  **transition between the pa per 83** 
**- I system and use of the**  **Information Collection Request, Review and Approval System (ICRAS) for submitting ICRs to**  **OMB. This form is not intended for submission to OMB. For additional guidance on completing this worksheet ,**  **please see EPA’s ICR webs**  **ite at http://intranet.epa.gov/icrintra/**  **. There you will find the following docume**  **nts: OEI’s ICRAS Instructions (under Prepare ICR Package tab) and OMB**  **’s ROCIS IC Q&A**  **(located under the Download Guidance tab)**  **, as well as the contact information for your app**  **r opriate ICR desk officer.**  **1. Ag**  **ency**

**/Subagency**

**originating request:** U.S. Environmental Protection Agency/Region 10 **2. Title:**  Federal Implementation Plans Under The Clean Air Act For Indian Reservations In Idaho, Oregon, And Washington **3. Ty**  **pe 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. OM**  **B Control Number (OCN)**  **:** 2060
- 0558 **EPA ICR Number:**  2020.0 6

**5 .**  **Ty p**  **e of review requested** ( check one ) **:** Regular Emergency

– Approval Requested by: (mm/dd/yy) Delegated **(If emergency, please submit**  **justification as a separate attachment**  **) 6**  **. Reques**  **ted 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 

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**7 . A**  **bstract** (4000 characters maximum, attach additional sheets as necessary): **EPA promulgated Federal Implementation Plans (FIPs) under**  **the Clean A ir A**  **ct for Indian reservations located in Idaho, Oregon, and Washington in 40 CFR part 49 (70 FR 18074, A pril 8, 2**  **005). T he FIPs**  **in the final rule, also referred to as the Federal A ir Rules for Indian Reservations in Idaho, Oregon, and Washington (FA**  **RR), include**  **information collection requirements associated with the partial delegation of administrative authority to a Tribe**  **rule in § 49.122; the visible emissions rule in § 49.124; the fugitive particulate matter rule in § 49.126; the woodwaste burners rule in § 49.127; the rul**  **e for limiting sulfur in fuels in § 49.130; the rule for open burning in § 49.131; the rules for gene**  **ral open burning permits, agricultural burning permits, and forestry**  **and silvicultural burning permits in §§ 49.132, 49.133, and 49.134; the emissions detrimental to human health or we lfare rule in §**  **49.135; the registration rule in § 49.138; and the rule for non**  **- Title V operating permits in § 49.139. EPA**  **uses this information to manage the activities and sources of air pollution on the Indian reservations in Idaho, Oregon, and Washington. EPA**  **believes these info rmation**  **collection requirements are approp riate because they**  **will enable EPA**

**to develop and maintain accurate records of air pollution sources and their emissions, track emissions trends and changes, identify**  **potential air quality**

**problems, allow EPA to issue permits**  **or approvals, and ensure appro**  **priate records are available to verify compliance with these FIPs. The information collection requirements listed above**  **are all mandatory . Entities potentially**  **affected by**

**this action include owners and operators of emission sources in all indu stry**  **group s and**  **tribal, federal, and local governments, located in the identified Indian reservations.**

**8 . Citations for A**  **uthorizing Statute(s) :** 
a. Public Law Nam e of law: Citation:
- Sec b. US Code Nam e of Law: Clean Air Act Citation: 42 USC: 7401 to 7671q
c. Executive Order Nam e/Subject of EO: C itation : EO d. Statute at Large Nam e of Statute: Citation: Stat **9 . A**  **ssociated Rulemaking Information** (For Rule Related ICRs Only) : RIN:
- 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 Final s that are not significant under EO 12866, please attach a draft of the r ule

.Revised 1/30/2007 

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**10 . Federal Register Notices & Comments**  **:** Federal Register Citation ( For Non
- Rule Related and Renewal ICRs Only) : 60
- day Notice: Volume: 7 8 Page number: 14704 Publication Date: 0 3 / 17 /201 4 ( 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 Rul emaking, OMB will not consider an ICR complete until the 30
- day notice h as been published. The second notice will be published following OEI review and approval of the ICR. OEI will enter this information in to ICRAS

. **11 . A**  **nnual Cost to Federal Government :**  693576.00 **12. Does this ICR contain survey**  **s, censuses, or employ statistical methods?**  Ye s No ( If Yes, please attach Supporting Statement, Part B ) **13. Is a Privacy** 

**Impact A**

**ssessment required by**  **the E -**  **Government A ct of 2002 for this ICR?**  Yes No (A PIA is needed for a new, electronic collection of information.) **14. Ag**  **ency**

**Contact:** Nam e: Justin A Spenillo Pho ne: 206.553.6125 E
- mail: spenillo.justin@epa.govRevised 1/30/2007 

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**15 . Change in Burden:**  **A. Program Change Due to a New Statute**  If change in burden is a **P rogram**  **C hange**  **D ue**  **to a**  **N ew**  **S tatute**  , identify the C itation s for the N ew S tatutory R equirements:
a. Public Law Nam e of law: Citation:
- Sec b. US Code Nam e of Law: Citation: USC:
c. Executive Order Nam e/Subject of EO: Citation : EO d. Statute at Large Nam e of Statute: Citation: Stat **B. Program Change Due to A**  **gency Discretion**  If change in burden is a **DECREA SE**  because of a **P rogram**  **C hange**  due to **A gency**  **D iscretion**  , please categorize the decrease (select one): Cutting Redundancy Using Information Technology Changing Regulations Changing Forms Miscellaneous Actions If change in burden is a **INCREA SE**  because of a **P rogram**  **C hange**  due to **A gency**  **D iscretion**  , ple ase 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 reduction in burden was achieved or why the increase in burden occurred. (If you need more space, provide a short summary here and elaborate in t he Supporting Statement.) There is a de crease of 1, 1 7 6 hours in the total estimated burden currently identified in the OMB Inventory of Approved ICR Burdens. This de crease is the result of a number of changes. It reflects adjustments to the burden estimates for this collection based on consultation input , supersedence of the provisions of one rule (49.139) , and experience with implementing the FARR. Some components of the burden estimates de creased and some components in creased (but by a lesser amount overall), resulting in an estimate that is lower than the previous estimate
. The decreases were primarily associated with a decrease in the burden estimate for future delegations under the delegation rule (49.122), a decrease in th e estimate of the number of sources for the sulfur in fuels rule (49.130) and an estimate that no additional sources will voluntarily apply for a non - Title V operating permit under the operating permits rule (49.139).Revised 1/30/2007 

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### PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET Part III: Information Collection Request Completeness Check

Comp lete this checklist prior to submitting the information collection package to the Clearance Officer. The Clearance Officer w ill use the information contained in this checklist, along with other information, to certify the information collection prior to s ubmission to OMB. The supporting statement (check all that apply):

a. Identifies the statute or regulation authorizing the collection of the information b. Describes efforts taken to avoid the collection of similar informa tion already available, or collected under a different information collection
c. Describes, if applicable, methods to minimize the 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 (if 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 

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### PAPERWORK REDUCTION ACT SUBMISSION WORKSHEET

Part IV: 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 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 regulatory provisions as set forth in the instructions. The following is a summ ary of the topics, regarding the proposed collection of information, that 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 terminology that is understandable to respondents; (e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices; (f) It indicates the retention periods fo r recordkeeping requirements; (g) It informs respondents of the information 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 response (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 allocated resources for the efficient and effecti ve management

and use of the information 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 technol ogy.Revised 1/30/2007 

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Signature of Program Official Rick Albrigh t , Directo r Office of Air Waste and Toxics

Region 10 Date

Signature of Senior Official or designee Oscar Morales, Director Collection Strategies Division

Office of Environmental Information DateRevised 1/30/2007 

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5 CFR 1320.9 reads “As part of the agency submission to OMB of a proposed collection of information, the agency (through the head of the agency, the Senior Official or their designee) shall certify (an d provide a record supporting such certification) that the proposed collection of information -- “(a) is necessary for the proper performance of the functions of the agency, including that the information to be collected w ill have practical utility; “(b) is not unnecessarily duplicative of information otherwise reasonably accessible to the agency; “(c) reduces to the extent practicable and appropriate the burden on persons who shall provide information to or for the agen cy, including with respect to small entities, as defined in 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 to thos e who are to respond; “(2) the clarification, consolidation, or simplification of compliance and reporting requirements; or collection of informati on , or any part thereof; “(3) an exemption from coverage of the collection of information, or any part there of; “(d) is written using plain, coherent, and unambiguous terminology and is understandable to those who are to respond; “(e) is to be implemented in ways consi stent and compatible, to the maximum extent practicable, with the existing reporting and recordkeeping practices of those who are to respond; “(f) indicates for each recordkeeping requirement the length of time persons are required to 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 a nd use of the information to be collected, including the processing of the information in a manner which shall enhance, where appropr iate, the utility of the information to agencies and the public; “(I) uses effective and efficient statistical s urvey methodology appropriate to the purpose for which the information is to be collected; and “(j) to the maximum extent practicable, uses appropriate information technology to reduce burden and improve data quality, ag ency efficiency and responsi veness to the public.”
NOTE: 5 CFR 1320.8(b)(3) requires that each collection of information: “(3) informs and provides reasonable notice to the potential persons to whom the collection of information is addressed of: “(I) the reasons the informa tion is planned to be and/or has been used to further the 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 performance of the functions of t he agency; “(iii) an estimate, to the extent practicable, of the average burden of the collection (together with a request that the public direct to the agency any comments concerning the accuracy of this burden estimate and any suggestions for reducing thisRevised 1/30/2007 

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