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Hazardous Materials Incidents Reports
Hazardous Materials Incidents Reports
OMB: 2137-0039
IC ID: 26730
OMB.report
DOT/PHMSA
OMB 2137-0039
ICR 201406-2137-004
IC 26730
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0039 can be found here:
2023-06-26 - Extension without change of a currently approved collection
2020-04-16 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Hazardous Materials Incidents Reports
Agency IC Tracking Number:
2137-0039 Renewal
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
49 CFR 171.21
49 CFR 171.15
49 CFR 171.16
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
Privacy Act Statement
FR Citation:
69 FR 19477
Number of Respondents:
1,781
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
33 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
17,810
0
0
0
0
17,810
Annual IC Time Burden (Hours)
23,746
0
0
0
0
23,746
Annual IC Cost Burden (Dollars)
0
0
0
0
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.