Information Collection

Responsible Appliance Disposal Program

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-481 Responsible Appliance Disposal Program	Form and Instruction
Form 5900-481 Partner Agreement Form Responsible Appliance Disposal Program	Form and Instruction
Form 5900-482 Partner Reporting Forms 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
5900-481 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
5900-482 Partner Reporting Forms RAD Reporting Form_2023 ICR Renewal-9.28.2023.xlsm	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	5900-481				Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-482				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 %

table that charts list of burden
	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

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.

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