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Responsible Appliance Disposal Program
Responsible Appliance Disposal Program
OMB: 2060-0703
IC ID: 190565
OMB.report
EPA/OAR
OMB 2060-0703
ICR 202212-2060-023
IC 190565
( )
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
52
0
0
4
0
48
Annual IC Time Burden (Hours)
292
0
0
0
0
292
Annual IC Cost Burden (Dollars)
0
0
0
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.