Information Collection

Form U

IC 189126 under ICR 202302-2070-001 · OMB 2070-0162.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0162 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9600-010 Form U	Form
9600-010 Form U 1884.15 FormU #9600-010.pdf	Form
9600-011 Form U Primary Manufacturer Import 1884.15 FormUPrimaryImport #9600-011.pdf	Form
9600-012 Form U Co-Manufacturer 1884.15 Co-Manufacturer #9600-012.pdf	Form
9600-013 Form U Primary Co-Manufacturer Producing 1884.15 PrimaryCo-Manufact. #9600-013.pdf	Form
9600-014 Form U Secondary or Tertiary 1884.15 Secondary.Tertiary #9600-014.pdf	Form
9600-015 Secondary Notify Tertiary 1884.15 Secondary.Notify.Tertiary #9600-015.pdf	Form

IC Title:

Form U

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 704 40 CFR 711 40 CFR 712

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	9600-010	Form U	1884.15 FormU #9600-010.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Form	9600-011	Form U Primary Manufacturer Import	1884.15 FormUPrimaryImport #9600-011.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Form	9600-012	Form U Co-Manufacturer	1884.15 Co-Manufacturer #9600-012.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Form	9600-013	Form U Primary Co-Manufacturer Producing	1884.15 PrimaryCo-Manufact. #9600-013.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Form	9600-014	Form U Secondary or Tertiary	1884.15 Secondary.Tertiary #9600-014.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Form	9600-015	Secondary Notify Tertiary	1884.15 Secondary.Notify.Tertiary #9600-015.pdf	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: 5,460

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,460	0	-200	5,660
Annual IC Time Burden (Hours)	729,304	35,423	-25,410	719,291
Annual IC Cost Burden (Dollars)	0	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.