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Incident Report for Gas Distribution Pipeline Operators
Annual and Incident Reports for Gas Pipeline Operators
OMB: 2137-0522
IC ID: 226539
OMB.report
DOT/PHMSA
OMB 2137-0522
ICR 201910-2137-011
IC 226539
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0522 can be found here:
2023-12-07 - Revision of a currently approved collection
2023-09-18 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
0
0
0
-150
0
150
Annual IC Time Burden (Hours)
0
0
0
-1,500
0
1,500
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.