Environment, Safety and Health

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-0300 can be found here:

Documents and Forms

Document Name Document Type
CAIRS_fields.doc Other-web based application
ORPS_Fields.doc Other-web based application
NTS_Fields.doc Other-web based application
REMS Data Elements.doc Other-web based application
AFP_Fields.doc Other-web based application
SBIS_Fields.doc Other-web based application
Accident Investigation Report Data Fields.doc Other-web based application

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Environment, Safety and Health	Agency IC Tracking Number:	Felecia Briggs

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-web based application	Accident Investigation Report Data Fields.doc		Yes	Yes	Fillable Fileable Signable
Other-web based application	CAIRS_fields.doc	web base	Yes	Yes	Fillable Fileable Signable
Other-web based application	ORPS_Fields.doc		Yes	Yes	Fillable Fileable Signable
Other-web based application	NTS_Fields.doc		Yes	Yes	Fillable Fileable Signable
Other-web based application	REMS Data Elements.doc		Yes	Yes	Fillable Fileable Signable
Other-web based application	AFP_Fields.doc		Yes	Yes	Fillable Fileable Signable
Other-web based application	SBIS_Fields.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,612	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	90,979	-20,059	111,038
Annual IC Time Burden (Hours)	69,560	-125,440	195,000
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.