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Toxic Chemical Release Reporting (Form R)
TRI Reporting for PFAS
OMB: 2070-0212
IC ID: 239142
OMB.report
EPA/OCSPP
OMB 2070-0212
ICR 202001-2070-001
IC 239142
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0212 can be found here:
2024-11-27 - Revision of a currently approved collection
2024-01-16 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 9350-1
Toxic Chemical Release Reporting (Form R)
Form
9350-1 Form R TRI
TRI PFAS Form_R_2018-10-10.docx
cdx.epa.gov
Form
9350-3 Form R Schedule 1
TRI PFAS Form R Schedule 1-rev-11.17.2014.pdf
cdx.epa.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Toxic Chemical Release Reporting (Form R)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
40 CFR 372
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
9350-1
Form R TRI
TRI PFAS Form_R_2018-10-10.docx
https://cdx.epa.gov
Yes
Yes
Fillable Fileable Signable
Form
9350-3
Form R Schedule 1
TRI PFAS Form R Schedule 1-rev-11.17.2014.pdf
https://cdx.epa.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
500
500
0
0
0
0
Annual IC Time Burden (Hours)
17,853
17,853
0
0
0
0
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.