Information Collection

FIFRA STAG Reporting and Recordkeeping

IC 217023 under ICR 202212-2070-003 · OMB 2070-0198.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5700-33HH FIFRA STAG Reporting and Recordkeeping	Form and Instruction
5700-33HH FIFRA Work Plan and Report Template 2511.13 Attachment I- Form# 5700-33HH.xlsx www.cdx.gov	Form and Instruction
5700-33HH FIFRA Work Plan and Report Template 2511.13 Attachment I- Form# 5700-33HH.xlsx www.cdx.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 31 40 CFR 30

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	5700-33HH	FIFRA Work Plan and Report Template	2511.13 Attachment I- Form# 5700-33HH.xlsx	www.cdx.gov	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: 81

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	162	162
Annual IC Time Burden (Hours)	26,195	26,195
Annual IC Cost Burden (Dollars)	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.