Information Collection

Benzene Pre-compliance MSAT-2

IC 214201 under ICR 202005-2060-002 · OMB 2060-0277.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RFG2500 Benzene Pre-compliance MSAT-2	Form and Instruction
unified-report-form-1-14.xlsx	Instruction
RFG2500 MSAT2: Gasoline Benzene Pre-Compliance Report rfg2500.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 80

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	RFG2500	MSAT2: Gasoline Benzene Pre-Compliance Report	rfg2500.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			unified-report-form-1-14.xlsx		Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

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
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	5	5
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.