Hazardous Materials Incidents Reports

Forms and Documents

Document Name	Status
5800.1 Reporting Instructions.pdf Supplementary Document	2017-06-15
HAZMAT Incident Reporting Form.pdf Supplementary Document	2017-06-15
Response to OMB to Evaluate Single Electronic Reporting System.docx Supplementary Document	2017-03-27
OMB ICR Responses.docx Supplementary Document	2017-03-22
30 Day Notice - September 2, 2016.pdf Supplementary Document	2016-12-01
60 Day Notice - June 27, 2016.pdf Supplementary Document	2016-12-01
2137-0039 Renewal 120116.doc Supporting Statement A	2016-12-06

IC Document Collections

IC ID	Document Title	Status
26730	Hazardous Materials Incidents Reports	Modified

ICR Details

OMB Control No: 2137-0039	ICR Reference No: 201612-2137-001
Status: Historical Active	Previous ICR Reference No: 201406-2137-004
Agency/Subagency: DOT/PHMSA	Agency Tracking No: 2137-0039 Renewal
Title: Hazardous Materials Incidents Reports
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/15/2017
	Date Received in OIRA: 12/22/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved	06/30/2017
Responses	17,810	0	17,810
Time Burden (Hours)	23,746	0	23,746
Cost Burden (Dollars)	0	0	0

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Abstract: Carriers of hazardous materials provide reports of accidents/ incidents in transportation. These reports are used for revisions of the hazardous materials standards and assessment of carriers of hazardous materials in transportation.

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Authorizing Statute(s): US Code: 49 USC 5101-5127 Name of Law: Hazardous Materials Regulations (HMR: 49 CFR 171-180)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 41648	06/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60779	09/02/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Hazardous Materials Incidents Reports

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,810	17,810	0	0	0	0
Annual Time Burden (Hours)	23,746	23,746	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $775,625

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/22/2016

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