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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 6100-22; 6100-23; Notice of Intent; Notice of Termination; Pesticide Discharge Evaluation Sheet; Annual Report; Adverse Incident Report 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

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:

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	6100-22; 6100-23; 6100-26; 6100-25; 6100-24			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 %

table that charts list of burden
	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

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.

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