Qualified Products List for Wildland Fire Chemicals

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FS-5100-0039 Long-Term Retardant, Hydration- Viscosity Curves, Technical Data Sheet	Form	Modified	Available
Form FS-5100-0038 Long-Term Retardant- Mixing and Handling Requirements Technical Data Sheet	Form	Modified	Available
Form FS-5100-0037 Long-Term Retardant-Formulation Disclosure Sheet	Form	Modified	Available
Form FS-5100-0036 Mixing and Handling Requirements	Form	Modified	Available
Form FS-5100-0035 Formulation Ingredient Content	Form	Modified	Available
Form FS-5100-0034 Water Enhancer - Technical Data Sheet - Thickened Products	Form	Modified	Available
Form FS-5100-0033 Water Enhancer - Technical Data Sheet	Form	Modified	Repair queued
Form FS-5100-0032 Water Enhancer - Formulation Disclosure Sheet	Form	Modified	Available
0596-0182_2015 WFC_Supporting Statement_FINAL_February2015.docx	Supporting Statement A	Uploaded 2015-02-25	Available
FSM 5160.doc	Supplementary Document	Uploaded 2012-02-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Long-Term Retardant, Hydration- Viscosity Curves, Technical Data Sheet
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Long-Term Retardant- Mixing and Handling Requirements Technical Data Sheet
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Long-Term Retardant-Formulation Disclosure Sheet
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Mixing and Handling Requirements
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Formulation Ingredient Content
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Water Enhancer - Technical Data Sheet - Thickened Products
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Water Enhancer - Technical Data Sheet
3297	Qualified Products List for Wildland Fire Chemicals	Form	Modified	Water Enhancer - Formulation Disclosure Sheet
3297	Qualified Products List for Wildland Fire Chemicals	Other-Placeholder	Modified

ICR Details

OMB Control No: 0596-0182	ICR Reference No: 201502-0596-002
Status: Historical Active	Previous ICR Reference No: 201202-0596-002
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Qualified Products List for Wildland Fire Chemicals
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/16/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2015
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	27	0	35
Time Burden (Hours)	11	0	39
Cost Burden (Dollars)	0	0	0

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Abstract: The USDA Forest Service has a need to collect information for the use in testing and evaluating chemicals that are used in wildland fire activities. This is necessary for respondents to ensure the chemicals used in the products (1) are safe for personnel involved in wildland fire activities, (2) are safe for the environment, (3) do not lead to corrosion of equipment; and (4) to expedited procurement of the products.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 68209	11/14/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 9688	02/24/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Qualified Products List for Wildland Fire Chemicals	FS-5100-0038, FS-5100-0035, FS-5100-0039, FS-5100-0032, FS-5100-0033, FS-5100-0034, FS-5100-0036, FS-5100-0037	Water Enhancer - Formulation Disclosure Sheet ,   Water Enhancer - Technical Data Sheet ,   Water Enhancer - Technical Data Sheet - Thickened Products ,   Formulation Ingredient Content ,   Mixing and Handling Requirements ,   Long-Term Retardant-Formulation Disclosure Sheet ,   Long-Term Retardant- Mixing and Handling Requirements Technical Data Sheet ,   Long-Term Retardant, Hydration- Viscosity Curves, Technical Data Sheet

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	27	35	0	0	-8	0
Annual Time Burden (Hours)	11	39	0	0	-28	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Since multiple similar calculations were not required, all similar requirements were combined during the analysis resulting in a decrease of 8 responses and 28 hours.

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Annual Cost to Federal Government: $1,200

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/25/2015

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