Information Collection

Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents

IC 217623 under ICR 201507-2137-001 · OMB 2137-0633.

Documents and Forms

Document Name Document Type
Form PHMSA Form F.7100- Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents Form and Instruction
PHMSA Form F.7100- Hazardous Liquid Accident Report HL Accident Form and Instructions.pdf www.phmsa.dot Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 191.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA Form F.7100-1	Hazardous Liquid Accident Report	HL Accident Form and Instructions.pdf	www.phmsa.dot	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	13	13
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.