Information Collection

Toxic Chemical Release Reporting (Form R)

IC 239142 under ICR 202204-2070-003 · OMB 2070-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9350-01 Toxic Chemical Release Reporting (Form R)	Form and Instruction
9350-01 Form R 2613.04_2070-0212__Attachment_FormR.pdf ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Form and Instruction
9350-01 Form R 2613.04_2070-0212__Attachment_FormR.pdf ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Form and Instruction
9350-01 Form R - Screenshot in TRI-MEweb system TRI-MEweb Screenshots_FormR.docx ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Form and Instruction
9350-01 Form R - Screenshot in TRI-MEweb system TRI-MEweb Screenshots_FormR.docx ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Form and Instruction

IC Title:

Toxic Chemical Release Reporting (Form R)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 372

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	9350-01	Form R	2613.04_2070-0212__Attachment_FormR.pdf	https://ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	9350-01	Form R - Screenshot in TRI-MEweb system	TRI-MEweb Screenshots_FormR.docx	https://ordspub.epa.gov/ords/guideme_ext/guideme_ext/guideme/file/ry_2020_form_r.pdf	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,986

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72,489	45	72,444
Annual IC Time Burden (Hours)	3,413,842	1,700	3,412,142
Annual IC Cost Burden (Dollars)	0	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.