Information Collection

Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 (Renewal)

IC 23856 under ICR 201806-2050-002 · OMB 2050-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0077 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9310-1 Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 (Renewal)	Form and Instruction
9310-1 Application Package for Reimbursement to Local Governmen application_package_for_local_government_reimbursement.pdf www2.epa.gov/sites/production/files/documents/Application_Package_for_local_government_reimbursement.pdf	Form and Instruction
9310-1 APPLICATION PACKAGE for REIMBURSEMENT TO LOCAL GOVERNMEN EPA Form 9310-1.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 (Renewal)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 310.05 40 CFR 310.2-310.9 40 CFR 310.10-310.12 40 CFR Part 310, appendix II (To search for a specific CFR, visit the Code of Federal Regulations.)

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 and Instruction	9310-1	Application Package for Reimbursement to Local Governments	application_package_for_local_government_reimbursement.pdf	http://www2.epa.gov/sites/production/files/documents/Application_Package_for_local_government_reimbursement.pdf	Yes	No	Printable Only
Form and Instruction	9310-1	APPLICATION PACKAGE for REIMBURSEMENT TO LOCAL GOVERNMENTS	EPA Form 9310-1.pdf		Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	270	270
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.