Information Collection

Order Recipients - Manufacturers and Importers of Pesticide Inert Ingredients

IC 204651 under ICR 201210-2070-003 · OMB 2070-0176.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPA Form No. 6300- Order Recipients - Manufacturers and Importers of Pesticide Inert Ingredients	Form and Instruction
2249.03_Order Template for PAIs.pdf	Instruction
2249.03_Order Template for Inerts.pdf	Instruction
EPA Form No. 6300- Initial Response Form for Individual Order Recipients (A 2249.03_EPA Form 6300-05.pdf	Form and Instruction
EPA Form No. 6300- Initial Response Form for Consortium/Task Force (As of A 2249.03_EPA Form 6300-05-C.pdf	Form and Instruction
2249.03_Attachment_B.pdf Policy and Procedures for EDSP Tier 1	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EPA Form No. 6300-05	Initial Response Form for Individual Order Recipients (As of April 3, 2009)	2249.03_EPA Form 6300-05.pdf	Yes	No	Fillable Printable
Form and Instruction	EPA Form No. 6300-05-C	Initial Response Form for Consortium/Task Force (As of April 3, 2009)	2249.03_EPA Form 6300-05-C.pdf	Yes	No	Fillable Printable
Instruction			2249.03_Order Template for PAIs.pdf	No	No	Paper Only
Instruction			2249.03_Order Template for Inerts.pdf	No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,020	1,020
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Policy and Procedures for EDSP Tier 1	2249.03_Attachment_B.pdf	10/24/2012

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