Form 3540-16 Pesticide Report for Pesticide-Producing and Device-Prod

Pesticide Establishment Application, Notification of Registration, and Pesticide Production Reports for Pesticide-Producing and Device-Producing Establishments (Renewal)

3540-16 form

Pesticide Report for Pesticide-Producing and Device-Producing Establishments (EPA Form 3540-16)

OMB: 2070-0078

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2070-0078 can be found here:

2023-09-27 - Extension without change of a currently approved collection

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File Type	application/pdf
File Title	Pesticide Report for Pesticide-Producing and Device-Producing Establishments
Subject	Annual report form used to report pesticide production to EPA
Author	EPA/OECA/OC/MAMAPD
File Modified	2019-05-06
File Created	2018-10-17