Information Collection

Incident Report for Liquefied Natural Gas (LNG) Facilities

IC 226543 under ICR 201612-2137-002 · OMB 2137-0522.

⚠️ Notice: This information collection may be referencing outdated material.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 100.3 Incident Report for Liquefied Natural Gas (LNG) Facilities Form and Instruction
PHMSA F7 100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities LNG Incident Form and Instructions - PHMSA F7100.3 (rev xy-2013) 2013-03-22 clean.pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Incident Report for Liquefied Natural Gas (LNG) Facilities	Agency IC Tracking Number:	LNG Incident

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 60117 49 CFR 60127

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 100.3	Incident Report - Liquefied Natural Gas (LNG) Facilities	LNG Incident Form and Instructions - PHMSA F7100.3 (rev xy-2013) 2013-03-22 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: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	10	10
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.