Application for Emergency Exemption for Pesticides (FIFRA Sec. 18)

Consolidated Pesticide Registration Submission Portal (Non-Substantive Change)

Documents and Forms

Document Name Document Type
Form 8570-4 Application for Emergency Exemption for Pesticides (FIFRA Sec. 18) Form and Instruction
8570-4 Confidential Statement of Formula 2624.01 Attachment A-02 Form 8570-4.pdf www.epa.gov/sites/production/files/2013-07/... Form and Instruction
8570-4 Confidential Statement of Formula 2624.01 Attachment A-02 Form 8570-4.pdf www.epa.gov/sites/production/files/2013-07/... Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Emergency Exemption for Pesticides (FIFRA Sec. 18)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 166

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8570-4	Confidential Statement of Formula	2624.01 Attachment A-02 Form 8570-4.pdf	https://www.epa.gov/sites/production/files/2013-07/...	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	143	143
Annual IC Time Burden (Hours)	14,157	14,157
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.