Information Collection

Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel

IC 179159 under ICR 201608-2060-010 · OMB 2060-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0150 can be found here:

Documents and Forms

Document Name Document Type
Form 3520-12A Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel Form
0309.15 Fuel Annual Instructions 3520-12a-instruct.pdf www.epa.gov/fuels-registration-reporting-and-compliance-help Instruction
3520-12A Fuel Manufacturer Annual Report for Motor Vehicle Gasoli 0309.15 Fuel Annual Report 3520-12a.pdf www.epa.gov/fuels-registration-reporting-and-compliance-help Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 79

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3520-12A	Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel	0309.15 Fuel Annual Report 3520-12a.pdf	https://www.epa.gov/fuels-registration-reporting-and-compliance-help	Yes	No	Fillable Printable
Instruction			0309.15 Fuel Annual Instructions 3520-12a-instruct.pdf	https://www.epa.gov/fuels-registration-reporting-and-compliance-help	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: 500	Number of Respondents for Small Entity: 255

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	40	760
Annual IC Time Burden (Hours)	2,400	120	2,280
Annual IC Cost Burden (Dollars)	4,000	200	3,800

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.