Information Collection

Incident Report for Gas Distribution Pipeline Operators

IC 226539 under ICR 201910-2137-011 · OMB 2137-0522.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0522 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PHMSA F7 100.1 Incident Report for Gas Distribution Pipeline Operators	Form and Instruction
PHMSA F7 100.1 Incident Report - Gas Distribution Systems GD Incident Form and Instructions - PHMSA F7100.1 (rev.xy-2013) 2017-04-25 clean.pdf www.phmsa.dot.gov	Form and Instruction

IC Title:

Incident Report for Gas Distribution Pipeline Operators

Agency IC Tracking Number:

GD Incident

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 60117 49 CFR 60127

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 F7 100.1	Incident Report - Gas Distribution Systems	GD Incident Form and Instructions - PHMSA F7100.1 (rev.xy-2013) 2017-04-25 clean.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: 150

Number of Respondents for Small Entity: 8

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-150	150
Annual IC Time Burden (Hours)	-1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.