Incident Report for Gas Distribution Pipeline Operators

Incident and Annual Reports for Gas Pipeline Operators

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0522 can be found here:

Documents and Forms

Document Name Document Type
Form PHMSA F7 100.1 Incident Report for Gas Distribution Pipeline Operators Form and Instruction
PHMSA F7 100.1 Incident Report - Gas Distribution Systems GD Incident Form and Instructions - PHMSA F7100.1 (rev.xy-2013) 2017-04-25 clean.pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Incident Report for Gas Distribution Pipeline Operators	Agency IC Tracking Number:	GD Incident

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 60127 49 CFR 60117

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F7 100.1	Incident Report - Gas Distribution Systems	GD Incident Form and Instructions - PHMSA F7100.1 (rev.xy-2013) 2017-04-25 clean.pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 8

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	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.