Information Collection

Pesticide Applicators

IC 199392 under ICR 201411-2040-001 · OMB 2040-0284.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0284 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-22; 6100-23; Pesticide Applicators Form and Instruction
6100-22; 6100-23; Notice of Intent; Notice of Termination; Pesticide Disch 2397ss02_APP D (03122014).pdf water.epa.gov/polwaste/npdes/basics/eNOI.cfm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pesticide Applicators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 122

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-22; 6100-23; 6100-26; 6100-25; 6100-24	Notice of Intent; Notice of Termination; Pesticide Discharge Evaluation Sheet; Annual Report; Adverse Incident Report	2397ss02_APP D (03122014).pdf	http://water.epa.gov/polwaste/npdes/basics/eNOI.cfm	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 365,000	Number of Respondents for Small Entity: 4,289

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,276,395	-688	1,277,083
Annual IC Time Burden (Hours)	828,141	-12,896	841,037
Annual IC Cost Burden (Dollars)	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.