Information Collection

Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (form 3540-16)

IC 24932 under ICR 201601-2070-002 · OMB 2070-0078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0078 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3540-16 Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (form 3540-16)	Form
2012 Instructions for EPA Form 3540-16.pdf	Instruction
3540-16 Pesticide Report for Pesticide-Producing and Device-Prod 2012 Pesticide Report (EPA Form 3540-16).pdf	Form

IC Title:

Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (form 3540-16)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 167

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	3540-16	Pesticide Report for Pesticide-Producing and Device-Producing Establishments	2012 Pesticide Report (EPA Form 3540-16).pdf		Yes	No	Fillable Printable
Instruction			2012 Instructions for EPA Form 3540-16.pdf		Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,730

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,730	0	900	13,830
Annual IC Time Burden (Hours)	23,519	2,455	1,287	19,777
Annual IC Cost Burden (Dollars)	0	0	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.