Information Collection

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

IC 24932 under ICR 201911-2070-004 · OMB 2070-0078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0078 can be found here:

Documents and Forms

Document Name Document Type
Form 3540-16 Pesticide Report for Pesticide-Producing and Device-Producing Establishments (EPA Form 3540-16) Form
3540-16 Instructions.pdf www.epa.gov/compliance/epa-form-3540-16-pesticide-report-pesticide-producing-and-device-producing-establishments Instruction
3540-16 Pesticide Report for Pesticide-Producing and Device-Prod 3540-16 form.pdf www.epa.gov/compliance/epa-form-3540-16-pesticide-report-pesticide-producing-and-device-producing-establishments Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pesticide Report for Pesticide-Producing and Device-Producing Establishments (EPA Form 3540-16)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 167

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3540-16	Pesticide Report for Pesticide-Producing and Device-Producing Establishments	3540-16 form.pdf	https://www.epa.gov/compliance/epa-form-3540-16-pesticide-report-pesticide-producing-and-device-producing-establishments	Yes	Yes	Fillable Printable
Instruction			3540-16 Instructions.pdf	https://www.epa.gov/compliance/epa-form-3540-16-pesticide-report-pesticide-producing-and-device-producing-establishments	Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,063	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 61 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,063	333	14,730
Annual IC Time Burden (Hours)	26,216	2,697	23,519
Annual IC Cost Burden (Dollars)	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.