Information Collection

Safer Choice Partner of the Year Awards (b)

IC 252589 under ICR 202203-2070-004 · OMB 2070-0221.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0221 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9600-023 Safer Choice Partner of the Year Awards (b)	Form and Instruction
9600-023 Safer Choice Program Partner of the Year Awards Applicat 2962.01 Attachment I- Application Form 9600-023.docx	Form and Instruction
9600-023 Safer Choice Program Partner of the Year Awards Applicat 2962.01 Attachment I- Application Form 9600-023.docx	Form and Instruction

IC Title:

Safer Choice Partner of the Year Awards (b)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	9600-023	Safer Choice Program Partner of the Year Awards Application	2962.01 Attachment I- Application Form 9600-023.docx		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: 2

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	30	30
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.