Information Collection

Special Review DCIs

IC 186758 under ICR 200809-2070-002 · OMB 2070-0174.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0174 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8570-4 Special Review DCIs	Form and Instruction
8570-4 CSF 8570-4_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-27 Formulator's Exemption 8570-27_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-28 Cert. Compliance 8570-28-cgs.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-32 Cert. Attempt Agreement 8570-32_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-34 Cert. Citation of Data 8570-34_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-35 Dtat Matrix 8570-35_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
8570-36 Summary of Physical 8570-36_pjsrevised.pdf www.epa.gov/opprd001/forms/	Form and Instruction
6300.4 DCI Response Form 6300.4 DCI response.pdf	Form and Instruction
6300.3 DCI Requirements Status 6300.3 DCI_requirements-response.pdf	Form and Instruction

IC Title:

Special Review DCIs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 154

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8570-4	CSF	8570-4_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	No	Fillable Printable
Form and Instruction	8570-27	Formulator's Exemption	8570-27_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	No	Fillable Printable
Form and Instruction	8570-28	Cert. Compliance	8570-28-cgs.pdf	http://www.epa.gov/opprd001/forms/	Yes	No	Fillable Printable
Form and Instruction	8570-32	Cert. Attempt Agreement	8570-32_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	Yes	Fillable Printable
Form and Instruction	8570-34	Cert. Citation of Data	8570-34_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	Yes	Fillable Printable
Form and Instruction	8570-35	Dtat Matrix	8570-35_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	No	Fillable Printable
Form and Instruction	8570-36	Summary of Physical	8570-36_pjsrevised.pdf	http://www.epa.gov/opprd001/forms/	Yes	No	Fillable Printable
Form and Instruction	6300.4	DCI Response Form	6300.4 DCI response.pdf		No	No	Paper Only
Form and Instruction	6300.3	DCI Requirements Status	6300.3 DCI_requirements-response.pdf		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,643

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	919	919
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.