9600-032 Section 8(d) Health and Safety Data Reporting

Confidential Business Information Claims under the Toxic Substances Control Act (TSCA) (Final Rule)

2706.02 Form 9600-032

OMB: 2070-0223

Document [pdf]
Download: pdf | pdf
CBI SUBMISSION
OMB Control No. 2070-0224

United States Environmental Protection Agency
Washington, DC 20460
Section 8(d) Health & Safety Data Reporting
This is an original submission:

This is an amendment:

✔
CERTIFICATION

Official Title:

Contact Person:

Email Address:

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Signature:

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I hereby certify to the best of my knowledge and belief that (1) all information entered on this form is
complete and accurate; and (2) any confidentiality claims are true and correct as to that information
for which they have been asserted. Any knowing and willful misinterpretation is subject to criminal
penalty pursuant to 18 USC 1001.

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Date Signed:

Contact Information

Submission
Information

Submission Type:

Submitter
Information

CBI:

Yes:

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PART 1

No:

✔

Address:

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Company Name:

Christest

123 Main Street
City, WA, 12345
United States

Contact Person:

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Phone Number:

Email Address:

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2025640710

Technical Contact
Information

Date Submitted:

[email protected]

CBI:

Yes: ✔ No:
Company Name:

Address:

test

test
test
test, AL, 12345
United States

Contact Person:

test test
Phone Number:

Email Address:

1234567890

[email protected]

EPA Form 9600-032

Page 1

Paperwork Reduction Act: This collection of information is approved by OMB under the Paperwork Reduction Act,
44 U.S.C. 3501 et seq. (OMB Control No. 2070-0224). Responses to this collection of information are mandatory for
certain persons, as specified at 15 U.S.C. 2607. An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a currently valid OMB control number. The public
reporting and recordkeeping burden for this collection of information is estimated to 50 hours per initial Section 8(a)
PAIR submission; 68 hours for Chemical Specific Section 8(a) Rules, 11 hours for Health and Safety Section 8(d);
and .97 hours for Section 8(c). Send comments on the Agency’s need for this information, the accuracy of the
provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support
Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C.
20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Section 8(d) Health & Safety Data Reporting Page 2
CBI SUBMISSION

PART 2

Study Information

Full Study Report

Document Upload:

CBI:

Yes:

Blank ESA.pdf
Effects:

✔

Endpoints:

Health Effects

Acute Toxicity: dermal

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Initiated Studies
Ongoing Studies
Robust Summary
Studies Which are
Known but without
Possession of
Copies
Studies Previously
Sent to Federal
Agencies without
Confidentiality
Claims

Substantiation Opt-Out and Documents
Yes:

No:

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Substantiation Opt-Out:

✔

N

ot

fo

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PART 3
Substantiation
Opt-Out and
Documents

No:

Page 2

Section 8(d) Health & Safety Data Reporting Page 3
CBI SUBMISSION

Claim:	Technical	Contact	Information
Applicable	Only	to	General	CBI	Claims

Yes

No

CBI

io
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A	person	may	assert	a	claim	of	confidentiality	for	the	specific	chemical	identity	of	a	chemical	substance	as	described	in	§	711.15(b)(3)	
of	this	part	only	if	the	identity	of that	chemical	substance	is	treated	as	confidential	in	the	Master	Inventory	File	as	of	the	time	the	report	
is	submitted	for	that	chemical	substance.	Generic	chemical identities	and	accession	numbers	may	not	be	claimed	as	confidential.	To	
assert	a	claim	of	confidentiality	for	the	identity	of	a	reportable	chemical	substance,	you	must submit	with	the	report	detailed	written	
answers	to	the	questions	from	subsection	(b)	and	to	the	following	questions.
X

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1. Please	specifically	explain	what	harm	to	the	competitive	position	of	your	business	would	be	likely	to	result	from	
the	release	of	the	information claimed	as	confidential.	How	would	that	harm	be	substantial?	Why	is	the	substantial	
harm	to	your	competitive	position	likely	(i.e.,	probable)	to	be caused	by	release	of	the	information	rather	than	just	
possible?	If	you	claimed	multiple	types	of	information	to	be	confidential	(e.g.	site information,	exposure	information,	
environmental	release	information,	etc.),	explain	how	disclosure	of	each	type	of	information	would	be	likely	to cause	
substantial	harm	to	the	competitive	position	of	your	business.
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X

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2. Has	your	business	taken	precautions	to	protect	the	confidentiality	of	the	disclosed	information?	If	yes,	please	
explain	and	identify	the	specific measures,	including	but	not	limited	to	internal	controls,	that	your	business	has	
taken	to	protect	the	information	claimed	as	confidential.	If	the same	or	similar	information	was	previously	reported	to	
EPA	as	non-confidential	(such	as	in	an	earlier	version	of	this	submission),	please	explain the	circumstances	of	that	
prior	submission	and	reasons	for	believing	the	information	is	nonetheless	still	confidential.
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3A.	Is	any	of	the	information	claimed	as	confidential	required	to	be	publicly	disclosed	under	any	other	Federal	
law?	If	yes,	please	explain. test

X

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3B.	Does	any	of	the	information	claimed	as	confidential	otherwise	appear	in	any	public	documents,	including	
(but	not	limited	to)	safety	data sheets;	advertising	or	promotional	material;	professional	or	trade	publications;	
state,	local,	or	Federal	agency	files;	or	any	other	media	or publications	available	to	the	general	public?	If	yes,	
please	explain	why	the	information	should	be	treated	as	confidential.
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X

N

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3C.	Has	a	patent	been	published	for	the	chemical	identity	you	claim	confidential?	What	chemical	identity	
information	is	not	revealed	by	the patent?	How	is	release	of	that	specific	information	likely	to	cause	substantial	
competitive	harm?	And	failure	to	explain	this	harm	may	lead	to denial	of	your	confidentiality	claim.
test
4. Is	the	claim	of	confidentiality	intended	to	last	less	than	10	years	(see	TSCA	section	14(e)(1)(B))?	If	yes,	please	
indicate	the	number	of	years (between	1-10	years)	or	the	specific	date	after	which	the	claim	is	withdrawn.
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5. Has	EPA,	another	federal	agency,	or	court	made	any	confidentiality	determination	regarding	information	
associated	with	this	chemical substance?	If	yes,	please	provide	the	circumstances	associated	with	the	prior	
determination,	whether	the	information	was	found	to	be	entitled	to confidential	treatment,	the	entity	that	made	the	
decision,	and	the	date	of	the	determination.
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Page 3

X

X

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