Information Collection

Application for Emergency Exemption for Pesticides (FIFRA 18)

IC 197953 under ICR 202012-2070-009 · OMB 2070-0182.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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	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 %

table that charts list of burden
	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

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.