PCBs: Consolidated Reporting and Recordkeeping Requirements - 3rd Party Disclosure

PCBs: Consolidated Reporting and Recordkeeping Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0112 can be found here:

Documents and Forms

Document Name Document Type
Form 7720-12 PCBs: Consolidated Reporting and Recordkeeping Requirements - 3rd Party Disclosure Form and Instruction
EPA530-R-19-005.pdf www.regulations.gov/document?D=EPA-HQ-OLEM-2018-0305-0010 Instruction
7720-12 PCB Transformer Registration Form 1446.12_ss-Attachment-C_Form 7720-12.pdf www.epa.gov/epawaste/hazard/tsd/pcbs/pdf/772012.pdf Form and Instruction
7710-53 Notification of PCB Activity Form 1446.12_ss-Attachment-D_Form 7710-53.pdf www.epa.gov/epawaste/hazard/tsd/pcbs/pdf/771053.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	PCBs: Consolidated Reporting and Recordkeeping Requirements - 3rd Party Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 761

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7720-12	PCB Transformer Registration Form	1446.12_ss-Attachment-C_Form 7720-12.pdf	http://www.epa.gov/epawaste/hazard/tsd/pcbs/pdf/772012.pdf	Yes	No	Printable Only
Form and Instruction	7710-53	Notification of PCB Activity Form	1446.12_ss-Attachment-D_Form 7710-53.pdf	http://www.epa.gov/epawaste/hazard/tsd/pcbs/pdf/771053.pdf	Yes	No	Printable Only
Instruction			EPA530-R-19-005.pdf	https://www.regulations.gov/document?D=EPA-HQ-OLEM-2018-0305-0010	Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,336	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,336	0	27,336
Annual IC Time Burden (Hours)	3,858	31	3,827
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.