Information Collection

PCBs: Consolidated Reporting and Recordkeeping Requirements - Reporting

IC 24957 under ICR 202003-2070-002 · OMB 2070-0112.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7720-12 PCBs: Consolidated Reporting and Recordkeeping Requirements - Reporting	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

IC Title:

PCBs: Consolidated Reporting and Recordkeeping Requirements - Reporting

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:

table that charts list of 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: 874

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	874	0	0	874
Annual IC Time Burden (Hours)	120,525	-3,404	1,385	122,544
Annual IC Cost Burden (Dollars)	0	0	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.