Information Collection

Application for Federal Pesticide Applicator Certification in Indian Country

IC 183102 under ICR 201811-2070-001 · OMB 2070-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0029 can be found here:

Documents and Forms

Document Name Document Type
Form 8500-17-N Application for Federal Pesticide Applicator Certification in Indian Country Form and Instruction
8500-17-N Request for Pesticide Applicator Certification in Navajo 0155.13_ss_Attachment-F_8500-17-N-form.pdf Form and Instruction
8500-17 Request for Pesticide Applicator Certification in Indian 0155.13_ss_Attachment-G_8500-17-form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Federal Pesticide Applicator Certification in Indian Country	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 171.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8500-17-N	Request for Pesticide Applicator Certification in Navajo Indian Country	0155.13_ss_Attachment-F_8500-17-N-form.pdf		Yes	No	Fillable Printable
Form and Instruction	8500-17	Request for Pesticide Applicator Certification in Indian Country	0155.13_ss_Attachment-G_8500-17-form.pdf		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,242	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,242	-1,525	2,767
Annual IC Time Burden (Hours)	211	-259	470
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.