Information Collection

Incident Report - Liquefied Natural Gas (LNG) Facilities

IC 238179 under ICR 202101-2137-004 · OMB 2137-0635.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0635 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities	Form and Instruction
PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities LNG Incident Form and Instructions - PHMSA F 7100.3 (3).pdf www.phmsa.dot.gov	Form and Instruction
PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities LNG Incident Form and Instructions - PHMSA F 7100.3 (3).pdf www.phmsa.dot.gov	Form and Instruction

IC Title:

Incident Report - Liquefied Natural Gas (LNG) Facilities

Agency IC Tracking Number:

2137-0635

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 191

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	PHMSA F7100.3	Incident Report - Liquefied Natural Gas (LNG) Facilities	LNG Incident Form and Instructions - PHMSA F 7100.3 (3).pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	12	12
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.