Information Collection

Reporting Confirmed Discovery Data in Hazardous Liquid Pipeline Accidents

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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	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 %

table that charts list of burden
	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

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.