Report of Oil or Hazardous Substance Discharge

ICR 200302-2115-012

OMB: 2115-0137

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
25271
Migrated
ICR Details
2115-0137 200302-2115-012
Historical Active 199912-2115-002
DOT/USCG
Report of Oil or Hazardous Substance Discharge
Extension without change of a currently approved collection   No
Regular
Approved without change 03/10/2003
Retrieve Notice of Action (NOA) 02/06/2003
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006 04/30/2003
104,000 0 95,000
8,667 0 7,917
0 0 0

As required by law, any discharge of oil, hazardous substances, hazardous materials or hazardous wastes must be reported to the National Response Center. This is necessary so that the predesignated on-scene coordinator can be informed and adequate spill mitigation may be carried out.

None
None


No

1
IC Title Form No. Form Name
Report of Oil or Hazardous Substance Discharge

  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 104,000 95,000 0 0 9,000 0
Annual Time Burden (Hours) 8,667 7,917 0 0 750 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/06/2003


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