Information Collection

Submission Of Unreasonable Adverse Effects Information Under Section 6/(a)(2) Of Fifra

IC 139837 under ICR 199009-2070-002 · OMB 2070-0039.

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Information Collection (IC) Details

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IC Title:	SUBMISSION OF UNREASONABLE ADVERSE EFFECTS INFORMATION UNDER SECTION 6/(A)(2) OF FIFRA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1204.04				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120	80	40
Annual IC Time Burden (Hours)	10,380	9,380	1,000
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.