Information Collection

Distribution of pre-renovation lead hazard information pamphlet and post-renovation and post-renovation checklists documenting lead-safe work practices

IC 218812 under ICR 201904-2070-004 · OMB 2070-0195.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0195 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Sample form Sample Renovation Recordkeeping Checklist Distribution of pre-renovation lead hazard information pamphlet and post-renovation and post-renovation checklists documenting lead-safe work practices	Form
Form Sample Form Distribution of pre-renovation lead hazard information pamphlet and post-renovation and post-renovation checklists documenting lead-safe work practices	Form
Form Sample Form Sample Pre-Renovation Disclosure Form Distribution of pre-renovation lead hazard information pamphlet and post-renovation and post-renovation checklists documenting lead-safe work practices	Form
Sample form Sample Renovation Recordkeeping Checklist 2507.02_SS_Attach9.FormChecklist.pdf www2.epa.gov/sites/production/files/documents/samplechecklist.pdf	Form
Sample form Sample Renovation Recordkeeping Checklist 2507.02_SS_Attach9.FormChecklist.pdf www2.epa.gov/sites/production/files/documents/samplechecklist.pdf	Form
Sample Form Sample Pre-Renovation Disclosure Form 2507.02_SS_Attach11.Pre-renovationForm.pdf www.epa.gov/sites/production/files/documents/pre-renovationform.pdf	Form
Sample Form Sample Pre-Renovation Disclosure Form 2507.02_SS_Attach11.Pre-renovationForm.pdf www.epa.gov/sites/production/files/documents/pre-renovationform.pdf	Form
2507.02_SS_Attach10.brochure.pdf The Lead-Safe Ceritified Guide to Renovate Right	IC Document
2507.02_SS_Attach10.brochure.pdf The Lead-Safe Ceritified Guide to Renovate Right	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Distribution of pre-renovation lead hazard information pamphlet and post-renovation and post-renovation checklists documenting lead-safe work practices

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 745

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	Sample form			http://www2.epa.gov/sites/production/files/documents/samplechecklist.pdf	Yes	No	Printable Only
Form	Sample Form			https://www.epa.gov/sites/production/files/documents/pre-renovationform.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 208,547

Number of Respondents for Small Entity: 202,291

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,436,892	0	-3,904,141	26,341,033
Annual IC Time Burden (Hours)	3,910,805	0	-684,606	4,595,411
Annual IC Cost Burden (Dollars)	15,030,729	16,728	15,014,001	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
The Lead-Safe Ceritified Guide to Renovate Right		05/02/2019

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

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