OMB
.report
Search
Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents
"Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents"
OMB: 2137-0633
IC ID: 217623
OMB.report
DOT/PHMSA
OMB 2137-0633
ICR 201507-2137-001
IC 217623
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
400
0
400
0
0
0
Annual IC Time Burden (Hours)
13
0
13
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.