Information Collection

Voluntary Cover Sheet for TSCA Submissions

IC 24994 under ICR 201006-2070-001 · OMB 2070-0156.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA 7710-58 TSCA Health & Safety Study Cover Sheet and Instructions Voluntary Cover Sheet for TSCA Submissions	Form and Instruction
EPA 7710-58 TSCA Health & Safety Study Cover Sheet and Instructions EPA Form 7710-58_05-24-2010.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	EPA 7710-58				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: 831

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,214	-909	2,123
Annual IC Time Burden (Hours)	607	-454	1,061
Annual IC Cost Burden (Dollars)	0	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.

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