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Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification
Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification
OMB: 2137-0584
IC ID: 26791
OMB.report
DOT/PHMSA
OMB 2137-0584
ICR 201902-2137-001
IC 26791
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0584 can be found here:
2023-09-29 - Revision of a currently approved collection
2022-03-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form PHMSA F 999-92
Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification
Form and Instruction
PHMSA F 999-92 Natural Gas Base Grant Progress Report
GAS Progress Report_Blank2018.pdf
www.phmsa.dot.gov
Form and Instruction
PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report
HL Progress Report_Blank2018.pdf
www.phmsa.dot.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification
Agency IC Tracking Number:
2137-0584 Renewal
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
49 CFR Part 198 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
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 999-92
Natural Gas Base Grant Progress Report
GAS Progress Report_Blank2018.pdf
www.phmsa.dot.gov
Yes
Yes
Fillable Printable
Form and Instruction
PHMSA F 999-95
Hazardous Liquid Base Grant Progress Report
HL Progress Report_Blank2018.pdf
www.phmsa.dot.gov
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
66
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
66
0
-52
0
0
118
Annual IC Time Burden (Hours)
3,861
0
-671
0
0
4,532
Annual IC Cost Burden (Dollars)
0
0
0
0
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.