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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.