Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification

Gas Pipeline Safety Program Performance Progress Report and Hazardous Liquid Pipeline Safety Program Performance Progress Report

Documents and Forms

Document Name Document Type
Form PHMSA F 999-92 Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification Form and Instruction
PHMSA F 999-92 Natural Gas Base Grant Progress Report 2021 Gas Progress Report TEMPLATE.pdf www.phmsa.dot.gov Form and Instruction
PHMSA F 999-92 Natural Gas Base Grant Progress Report 2021 Gas Progress Report TEMPLATE.pdf www.phmsa.dot.gov Form and Instruction
PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report 2021 Haz Liquid Progress Report TEMPLATE.pdf www.phmsa.dot.gov Form and Instruction
PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report 2021 Haz Liquid Progress Report TEMPLATE.pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification	Agency IC Tracking Number:	2137-0584 Renewal

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR Part 198 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F 999-92	Natural Gas Base Grant Progress Report	2021 Gas Progress Report TEMPLATE.pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable
Form and Instruction	PHMSA F 999-95	Hazardous Liquid Base Grant Progress Report	2021 Haz Liquid Progress Report TEMPLATE.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: 66	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	3,861	3,861
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.