Application for Emergency Exemption for Pesticides (FIFRA 18)

Pesticide Program Public Sector Collections (FIFRA Sections 18 & 24(c)) (Renewal)

Documents and Forms

Document Name Document Type
Form 8570-4 Application for Emergency Exemption for Pesticides (FIFRA 18) Form and Instruction
8570-4 Confidential Statement of Formula 2311ss03_Attachment D_EPA Form No 8570-4_Confidential Statement of Formula (1).pdf www.epa.gov/opprd001/forms/8570-4.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Emergency Exemption for Pesticides (FIFRA 18)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 40 CFR Part 166 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8570-4	Confidential Statement of Formula	2311ss03_Attachment D_EPA Form No 8570-4_Confidential Statement of Formula (1).pdf	www.epa.gov/opprd001/forms/8570-4.pdf	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	143	143
Annual IC Time Burden (Hours)	14,157	14,157
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.