Information Collection

Hazardous Liquid Accident Reporting

IC 228008 under ICR 201806-2137-004 · OMB 2137-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0047 can be found here:

Documents and Forms

Document Name Document Type
Form PHMSA F 7000-1 Hazardous Liquid Accident Reporting Form and Instruction
PHMSA F 7000-1 Accident Report - Hazardous Liquid Pipeline Systems HL Accident Form and Instructions.pdf www.phmsa.dot.gov Form and Instruction
Explanation.docx Justification For Change Document IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hazardous Liquid Accident Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 195.54

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F 7000-1	Accident Report - Hazardous Liquid Pipeline Systems	HL Accident Form and Instructions.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: 400	Number of Respondents for Small Entity: 100

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification For Change Document	Explanation.docx	06/28/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.