Information Collection

Toxic Chemical Release Reporting (Form R)

IC 41799 under ICR 201912-2025-001 · OMB 2025-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9350-3 Toxic Chemical Release Reporting (Form R)	Form
2019 Q and A Consolidation Document_121118_complete.docx	Other-Q and A
RFI Main RY2019 Working Document_11.18.19.docx	Instruction
Working Document RFI_Tables_RY2019_101619.docx	Instruction
RFI_Appendices_RY2019_combined_09_29_19.docx	Instruction
Reporting Codes Reporting Metals_110419.docx	Instruction
Supplier Notification Requirements_110819.docx	Instruction
9350-3 Form R Schedule 1 1363.23 Form R Schedule 1-rev-11.17.2014.pdf cdx.epa.gov	Form
9350-1 Form R TRI EPA-HQ-TRI-2017-0057-0006 Form_R_2018-10-10.docx cdx.epa.gov	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 372

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	9350-3	Form R Schedule 1	1363.23 Form R Schedule 1-rev-11.17.2014.pdf	https://cdx.epa.gov	Yes	Yes	Fillable Fileable Signable
Form	9350-1	Form R TRI	EPA-HQ-TRI-2017-0057-0006 Form_R_2018-10-10.docx	https://cdx.epa.gov	Yes	Yes	Fillable Fileable Signable
Other-Q and A			2019 Q and A Consolidation Document_121118_complete.docx		Yes	No	Printable Only
Instruction			RFI Main RY2019 Working Document_11.18.19.docx		Yes	No	Printable Only
Instruction			Working Document RFI_Tables_RY2019_101619.docx		Yes	No	Printable Only
Instruction			RFI_Appendices_RY2019_combined_09_29_19.docx		Yes	No	Printable Only
Instruction			Reporting Codes Reporting Metals_110419.docx		Yes	No	Printable Only
Instruction			Supplier Notification Requirements_110819.docx		Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,937

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	71,944	71,944
Annual IC Time Burden (Hours)	3,394,289	3,394,289
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.