Information Collection

Responsible Appliance Disposal Program

IC 190565 under ICR 202212-2060-023 · OMB 2060-0703.

Documents and Forms

Document Name Document Type
Form 5900-481 Responsible Appliance Disposal Program Form and Instruction
5900-481 Partner Agreement Form RAD General Partnership Agreement_2023 ICR Renewal_9.28-2023.docx Form and Instruction
5900-482 Partner Reporting Forms RAD Reporting Form_2023 ICR Renewal-9.28.2023.xlsm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Responsible Appliance Disposal Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-481	Partner Agreement Form	RAD General Partnership Agreement_2023 ICR Renewal_9.28-2023.docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-482	Partner Reporting Forms	RAD Reporting Form_2023 ICR Renewal-9.28.2023.xlsm		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: 52	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	52	4	48
Annual IC Time Burden (Hours)	292	0	292
Annual IC Cost Burden (Dollars)	0	0	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.