Information Collection

New Chemicals Program - CDX Electronic Signature

IC 187652 under ICR 200912-2070-002 · OMB 2070-0173.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form US EPA Electronic US EPA Electronic Signature Agreement New Chemicals Program - CDX Electronic Signature	Form
Form ESA and Authorizat Authorization and Verification for Section 5 Notice Support Submitter by Company Authorizing Official New Chemicals Program - CDX Electronic Signature	Form
Form ESA and Authorizat Verification of Company Authorizing Official New Chemicals Program - CDX Electronic Signature	Form
US EPA Electronic US EPA Electronic Signature Agreement eTSCA CDX ESA - Gold Man.doc cdx.epa.gov	Form
ESA and Authorizat Authorization and Verification for Section 5 Notice Supp eTSCA CDX Verif -Suppl - Straw Man.doc cdx.epa.gov	Form
ESA and Authorizat Verification of Company Authorizing Official eTSCA CDX Verif - Gold Man.doc cdx.epa.gov	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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	ESA and Authorization Form 2	Authorization and Verification for Section 5 Notice Support Submitter by Company Authorizing Official	eTSCA CDX Verif -Suppl - Straw Man.doc	https://cdx.epa.gov	Yes	No	Printable Only
Form	ESA and Authorization Form 1	Verification of Company Authorizing Official	eTSCA CDX Verif - Gold Man.doc	https://cdx.epa.gov	Yes	No	Printable Only
Form	US EPA Electronic Signature Agreement	US EPA Electronic Signature Agreement	eTSCA CDX ESA - Gold Man.doc	https://cdx.epa.gov	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: 295

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	98	98
Annual IC Time Burden (Hours)	172	172
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.