Information Collection

PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure

IC 183821 under ICR 201109-2070-001 · OMB 2070-0112.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0112 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA Form 7710-53 Notification of PCB Activity PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure	Form
Form EPA Form 7720-12 PCB Transformer Registration PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure	Form
EPA Form 7710-53 Notification of PCB Activity 7710-53.pdf www.epa.gov/pcb/pubs/771053.pdf	Form
EPA Form 7720-12 PCB Transformer Registration 7720-12.pdf www.epa.gov/pcb/pubs/772012.pdf	Form
7710-53instructions.pdf Notification of PCB Activity - Instructions for EPA Form 7710-53	IC Document
7720-12instructions.pdf PCB Transformer Registration - Instructions for EPA Form 7720-12	IC Document

IC Title:

PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 761

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	EPA Form 7710-53	Notification of PCB Activity	7710-53.pdf	http://www.epa.gov/pcb/pubs/771053.pdf	Yes	No	Printable Only
Form	EPA Form 7720-12	PCB Transformer Registration	7720-12.pdf	http://www.epa.gov/pcb/pubs/772012.pdf	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: 162,961

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	162,961	-12,408	175,369
Annual IC Time Burden (Hours)	15,595	-1,234	16,829
Annual IC Cost Burden (Dollars)	0	-12,600	12,600

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Notification of PCB Activity - Instructions for EPA Form 7710-53	7710-53instructions.pdf	01/25/2008
PCB Transformer Registration - Instructions for EPA Form 7720-12	7720-12instructions.pdf	01/25/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.