Information Collection

Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr

IC 218813 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⚠️ Notice: This information collection may be referencing outdated material.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 EPA Form 8500-27 Application and Instructions for Firms Applying for Certification to Conduct Lead-Based Paint Activities and/or Renovations Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr	Form and Instruction
Form Sample Form Sample Renovation Recordkeeping Checklist Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr	Form
Form Sample Form Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr	Form
Form Sample Form Sample Pre-Renovation Disclosure Form Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr	Form
EPA Form 8500-27 Application and Instructions for Firms Applying for Cert 2507.02_SS_Attach4.Form8500-27.pdf www.epa.gov/lead/lead-renovationabatement-firm-certification-application-or-update	Form and Instruction
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/lead/sample-pre-renovation-form-confirmation-receipt-lead-pamphlet	Form
2507.02_SS_Lead User Guide - Firm Certification 01052018.pptx Lead User Guide: Application for Firm Certification	IC Document
2507.02_SS_Attach10.brochure.pdf The Lead-Safe Certified Guide to Renovate Right	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Government-employed RRP professional certification activities, distribution of lead hazard information pamphlet prior to renovation activities, post-renovation checklists documenting lead-safe work pr

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	Sample Pre-Renovation Disclosure Form	2507.02_SS_Attach11.Pre-renovationForm.pdf	https://www.epa.gov/lead/sample-pre-renovation-form-confirmation-receipt-lead-pamphlet	Yes	Yes	Fillable Fileable
Form and Instruction	EPA Form 8500-27	Application and Instructions for Firms Applying for Certification to Conduct Lead-Based Paint Activities and/or Renovations	2507.02_SS_Attach4.Form8500-27.pdf	https://www.epa.gov/lead/lead-renovationabatement-firm-certification-application-or-update	Yes	Yes	Fillable Fileable
Form	Sample Form	Sample Renovation Recordkeeping Checklist	2507.02_SS_Attach9.FormChecklist.pdf	http://www2.epa.gov/sites/production/files/documents/samplechecklist.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: 6,670

Number of Respondents for Small Entity: 6,470

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	99,291	0	99,291
Annual IC Time Burden (Hours)	55,424	-1	55,425
Annual IC Cost Burden (Dollars)	150,875	150,875	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Lead User Guide: Application for Firm Certification	2507.02_SS_Lead User Guide - Firm Certification 01052018.pptx	05/02/2019
The Lead-Safe Certified Guide to Renovate Right	2507.02_SS_Attach10.brochure.pdf	05/02/2019

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