Update My Information for LMOP Partners

Please use the form below to provide updates to LMOP regarding any of your information as a Partner. Revisions will be reflected in the next update of Partner information on the LMOP website.

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0446). Responses to this collection of information are voluntary (42 USC 7403(g)). An 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. The public reporting and recordkeeping burden for this collection of information is estimated to be 0.75 to 2.5 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

EPA Form Number 5900-574

Name *

Email Address *

Organization Name *

Website Address

Please enter the URL without http:// or https://

Street

City

State

Zip

Industry and Energy Partners, please select the organization type from the appropriate list below that best fits your organization (select only one).

Energy Partner Type

Industry Partner Type

Description

Use the box to provide us with a brief description (150 words or less) of your organization.

Revise or Replace Org Description

Should the new/revised description above:

Completely replace the current description we have for your organization, or

Add to the current description we have for your organization

Industry Partners, please select the expertise from the lists below that best represents your organizations field(s) of expertise. You can select multiple options (up to 4 total).

Expertise: Professional Services

Expertise: Equipment Supplier Type

New Primary Contact *

Do you have a different primary contact than currently listed on the website? Please select "Yes" or "No." If "Yes", please fill out the additional fields that will appear.

Yes

Primary Contact Name

Primary Contact Title

Primary Contact Email

Primary Contact Phone

New Organization Address *

Is the primary contact's address the same as the organization's address? If "No," please provide the primary contact's address below.

Yes

Primary Contact Street

Primary Contact State

Primary Contact City

Primary Contact Zip

Additional Contacts

Use the box above to indicate edits to names, titles, email addresses, or phone numbers of existing contacts or to add new contacts.

Other Edits

Use the box above to indicate other edits for your organization as a Partner that are not addressed above.

Are you human? *

Update My Information for LMOP Partners

Landfill Methane Outreach Program (LMOP)