Information Collection

Incident Report - Liquefied Natural Gas (LNG) Facilities

IC 238179 under ICR 202309-2137-004 · OMB 2137-0635.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0635 can be found here:

Documents and Forms

Document Name Document Type
Form PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities Form and Instruction
PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities LNG Incident Form and Instructions - PHMSA F7100.3 DIRT Clean.pdf www.phmsa.dot.gov Form and Instruction
PHMSA F7100.3 Incident Report - Liquefied Natural Gas (LNG) Facilities LNG Incident Form and Instructions - PHMSA F7100.3 DIRT Clean.pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Incident Report - Liquefied Natural Gas (LNG) Facilities	Agency IC Tracking Number:	DIRT

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 191

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F7100.3	Incident Report - Liquefied Natural Gas (LNG) Facilities	LNG Incident Form and Instructions - PHMSA F7100.3 DIRT Clean.pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	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.