EDB PRODUCTS: CLAIM FOR INDEMNIFICATION, REQUEST FOR FEDERAL DISPOSAL

ICR 198411-2070-002

OMB: 2070-0063

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2070-0063 198411-2070-002
Historical Active
EPA/OCSPP
EDB PRODUCTS: CLAIM FOR INDEMNIFICATION, REQUEST FOR FEDERAL DISPOSAL
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/04/1984
Retrieve Notice of Action (NOA) 11/16/1984
This form is cleared subject to the following chages: 1) Costs are defined as direct costs only. 2) The applicants certify that they have attempted to return the material to the person or company that sold the product.
  Inventory as of this Action Requested Previously Approved
12/31/1985 12/31/1985
300 0 0
2,040 0 0
0 0 0

HOLDERS OF SUSPENDED EDB PESTICIDE PRODUCTS WILL FILE CLAIM FORMS ONCE TO REQUEST INDEMNIFICATION FOR, AND FEDERAL DISPOSAL OF, THE PRODUCTS SUSPENDED UNDER FIFRA REGULATORY ACTIONS. THE INFORMATION PROVIDED WI BE USED BY EPA TO DOCUMENT THE CLAIMANTS' RIGHT TO INDEMNIFICATION.

None
None


No

1
IC Title Form No. Form Name
EDB PRODUCTS: CLAIM FOR INDEMNIFICATION, REQUEST FOR FEDERAL DISPOSAL 1231

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 0 0 300 0 0
Annual Time Burden (Hours) 2,040 0 0 2,040 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (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;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/16/1984


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