Information Collection

Submission of Unreasonable Adverse Effects Information under FIFRA Section 6(a)(2)

IC 24885 under ICR 200704-2070-002 · OMB 2070-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0039 can be found here:

Documents and Forms

Document Name Document Type
Submission of Unreasonable Adverse Effects Information under FIFRA Section 6(a)(2) Form and Instruction
Industry's Voluntary 6(a)(2) Incident Reporting Form 6a2guide.pdf www.fifra6a2.com/guides/6a2guide.PDF Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Submission of Unreasonable Adverse Effects Information under FIFRA Section 6(a)(2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 159.Subpart d

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Industry's Voluntary 6(a)(2) Incident Reporting Form	6a2guide.pdf	http://www.fifra6a2.com/guides/6a2guide.PDF	Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,720	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	54,240	7,915	46,325
Annual IC Time Burden (Hours)	167,316	11,677	155,639
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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