APPLICATION FOR PREAUTHORIZATION OF CERCLA RESPONSE ACTIONS AND CLAIM FOR CERCLE RESPONSE ACTION.

ICR 198908-2050-001

OMB: 2050-0106

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2050-0106 198908-2050-001
Historical Active
EPA/OLEM
APPLICATION FOR PREAUTHORIZATION OF CERCLA RESPONSE ACTIONS AND CLAIM FOR CERCLE RESPONSE ACTION.
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/12/1989
Retrieve Notice of Action (NOA) 08/17/1989
  Inventory as of this Action Requested Previously Approved
10/31/1991 10/31/1991
1 0 0
2 0 0
0 0 0

IN ORDER TO BE REIMBURSED FROM THE HAZARDOUS SUBSTANCE SUPERFUND FOR THE COST OF CONDUCTING A RESPONSE ACTION IN ACCORDANCE WITH THE NATIONAL CONTINGENCY PLAN, AN INDIVIDUAL, PRIVATE ENTITY, FOREIGN ENTITY, OR POTENTIALLY RESPONSIBLE PARTY (INCLUDING STATES AND POLITIC SUBDIVISIONS) MUST FIRST COMPLETE AND SUBMIT TO EPA AN APPLICATION FOR PREAUTHORIZATION AND A CLAIM FORM. EPA WILL USE THE INFORMATION

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR PREAUTHORIZATION OF CERCLA RESPONSE ACTIONS AND CLAIM FOR CERCLE RESPONSE ACTION.

  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 1 0 0 1 0 0
Annual Time Burden (Hours) 2 0 0 2 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.
08/17/1989


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