Information Collection

Local governments (LBP RRP activities); initial certification application and sample renovation recordkeeping checklist

IC 184292 under ICR 201004-2070-003 · OMB 2070-0155.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0155 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8500-27R Local governments (LBP RRP activities); initial certification application and sample renovation recordkeeping checklist	Form
8500-27R Application for Firms to Conduct Renovations Firm Application Revised - Form Only.pdf	Form
Sample renovation Sample renovation recordkeeping checklist word recordkeeping checklist.doc	Form

IC Title:

Local governments (LBP RRP activities); initial certification application and sample renovation recordkeeping checklist

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 745

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	8500-27R	Application for Firms to Conduct Renovations	Firm Application Revised - Form Only.pdf		Yes	No	Printable Only
Form	Sample renovation recordkeeping checklist	Sample renovation recordkeeping checklist	word recordkeeping checklist.doc		Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title: Lead-Based Paint Program System of Records

FR Citation: 70 FR 35251

Number of Respondents: 3,522

Number of Respondents for Small Entity: 3,244

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,522	3,522
Annual IC Time Burden (Hours)	29,282	29,282
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.