Information Collection

Applications from Retailers

IC 204643 under ICR 201210-2070-002 · OMB 2070-0184.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0184 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA Form 9600-04 Applications from Retailers	Form and Instruction
EPA Form 9600-04 Design for the Environment Safer Product Labeling Progra 2450-01-icr_AttachB_rev2013-01-14.docx www.epa.gov/dfe	Form and Instruction

IC Title:

Applications from Retailers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 Form 9600-04	Design for the Environment Safer Product Labeling Program	2450-01-icr_AttachB_rev2013-01-14.docx	www.epa.gov/dfe	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	10	10
Annual IC Time Burden (Hours)	150	150
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.