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⚠️ Notice: This information collection may be referencing outdated material.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

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

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
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

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.