Pesticide Use - Individuals

Forest Service Pesticide-Use Proposal Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0241 can be found here:

Documents and Forms

Document Name Document Type
0596-NEW FS-2100-2 Instructions v12-17-2015.docx Instruction
FS-2100-2 Pesticide Use Proposal 0596-NEW FS-2100-2 v11-03-2015.docx Form

Information Collection (IC) Details

IC Title:	Pesticide Use - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 171 36 CFR 219 and 220 42 CFR 4321

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			0596-NEW FS-2100-2 Instructions v12-17-2015.docx		Yes	No	Printable Only
Form	FS-2100-2	Pesticide Use Proposal	0596-NEW FS-2100-2 v11-03-2015.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	124	124
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	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.