Attachment 7 - BioTech Form 6300-07

NON-CBI SUBMISSION
Form Approved. 6610 OMB No. 2070-NEW Expires 12/31/2022

BIO2009P1

EPA Biotech Form
Biotech Form Report Number

Mark (X) if anything is CBI

I. SUBMITTER IDENTIFICATION INFORMATION
First Name
Position
Mailing Address

CBI
Last Name
Company

(Number & Street)

City

State

e-mail

Postal Code
Telephone

(include area code)
Ia. JOINT SUBMITTER -- If you are submitting this notice as part of a joint submission, mark (X)

First Name
Position
Mailing Address

CBI

Last Name
Company

(Number & Street)

City

State

e-mail

Postal Code
Telephone

(include area code)

II. TECHNICAL CONTACT IDENTIFICATION INFORMATION
First Name
Position
Mailing Address

CBI

Last Name
Company

(Number & Street)

City

State

e-mail

Postal Code
Telephone

(include area code)

III. TYPE OF SUBMISSION (Check One)
MCAN (Microbial Commercial Activity Notice)
TERA (TSCA Experimental Release Application)
Tier I Exemption
Tier II Exemption
Biotech TME (Test Market Exemption)
IV. TEXT / COMMENTS

CBI

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2070-NEW). Responses to this collection of
information are mandatory (40 CFR 720). An agency may not conduct or sponsor, and a person is not required to, respond to a collection of information unless it displays a currently
valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to average 292 hours per response. Send comments on the
agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of
automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C.
20460. Include the OMB control number in any correspondence. Do not send the completed EPA Form 6300-7 to this address.