Application for Federal Pesticide Applicator Certification in Navajo Indian Country

Certification of Pesticide Applicators (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0029 can be found here:

Documents and Forms

Document Name Document Type
Form 8500-17-N Application for Federal Pesticide Applicator Certification in Navajo Indian Country Form
8500-17-N - instructions.pdf Instruction
8500-17-N Request for Pesticide Applicator Certification in Navajo 0155-09-form8500-17-N.pdf Form

Information Collection (IC) Details

IC Title:	Application for Federal Pesticide Applicator Certification in Navajo Indian Country	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 171.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8500-17-N	Request for Pesticide Applicator Certification in Navajo Indian Country	0155-09-form8500-17-N.pdf		Yes	No	Fillable Printable
Instruction			8500-17-N - instructions.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: 13	Number of Respondents for Small Entity: 13

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
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	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.