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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.