Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0584 can be found here:

Documents and Forms

Document Name Document Type
Form PHMSA F 999-95 Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification Form and Instruction
PHMSA F 999-95 2012 Hazardous Liquid Base Grant Progress Report (Certif HLBlankcert.pdf Form and Instruction
PHMSA F 999-92 2012 Natural Gas Base Grant Progress Report (Certificati NGBlankcert.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification	Agency IC Tracking Number:	2137-0584 Renewal

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR Part 198 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F 999-95	2012 Hazardous Liquid Base Grant Progress Report (Certification)	HLBlankcert.pdf		Yes	No	Fillable Printable
Form and Instruction	PHMSA F 999-92	2012 Natural Gas Base Grant Progress Report (Certification)	NGBlankcert.pdf		Yes	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	3,920	3,920
Annual IC Cost Burden (Dollars)	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.