Information Collection

CSB Accidental Release Form

IC 241475 under ICR 202101-3301-003 · OMB 3301-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3301-0001 can be found here:

Documents and Forms

Document Name Document Type
Form CSB Form 2020-01 CSB Accidental Release Form Form and Instruction
Instructions Revised 2021.02.11.docx Instruction
CSB Form 2020-01 CSB Accidental Release Form Instructionsonly12-11-19revised4-21.docx Form and Instruction
CSB Form 2020-01 CSB Accidental Release Form FormRevised 2021.02.11.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CSB Accidental Release Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 1604

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CSB Form 2020-01	CSB Accidental Release Form	FormRevised 2021.02.11.docx		No		Printable Only
Instruction			Instructions Revised 2021.02.11.docx		No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title: Not applicable	FR Citation: 40 FR 1604

Number of Respondents: 201	Number of Respondents for Small Entity: 150

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	201	200	1
Annual IC Time Burden (Hours)	50	50	0
Annual IC Cost Burden (Dollars)	1,860	1,860	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.