Information Collection

Toxic Chemical Release Reporting (Form R)

IC 239142 under ICR 202001-2070-001 · OMB 2070-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	9350-1	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

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17,853	17,853
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.