Information Collection Request

Online Program Management System for Carbon Dioxide-Carp

ICR 202401-1018-004 · OMB 1018-0182 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3-2541 6(a)(2) Adverse Incident Report Form Unchanged Repair queued
Form 3-2541 Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged Repair queued
Form 3-2541 6(a)(2) Adverse Incident Report Form Unchanged Repair queued
Form 3-2541 (ePermits) Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged Repair queued
Form 3-2191 Results Report Form Form Unchanged Repair queued
Form 3-2191 Form 3-2191: Results Report Form Form Unchanged Available
Form 3-2191 Results Report Form Form Unchanged Repair queued
Form 3-2191 (ePermits) Form 3-2191: Results Report Form Form Unchanged Repair queued
Form 3-2164 Worksheet for Field Application Locations Form Unchanged Repair queued
Form 3-2164 Form 3-2164: Worksheet for Field Application Locations Form Unchanged Repair queued
Form 3-2164 Worksheet for Field Application Locations Form Unchanged Repair queued
Form 3-2164 (ePermits) Form 3-2164: Worksheet for Field Application Locations Form Unchanged Repair queued
Form 3-2163 Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged Repair queued
Form 3-2163 Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged Repair queued
Form 3-2163 Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged Repair queued
Form 3-2163 (ePermits) Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged Repair queued
Form 3-2130 Report on Receipt of Label Form Unchanged Available
Form 3-2130 Form 3–2130: Report on Receipt of Label Form Unchanged Repair queued
Form 3-2130 Report on Receipt of Label Form Unchanged Available
Form 3-2130 (ePermits) Form 3–2130: Report on Receipt of Label Form Unchanged Repair queued
1018-0182 SSA CO2-Carp 01242024.docx Supporting Statement A Uploaded 2024-01-24 Repair queued
1018-0182 30-day FRN 02272024 89FR14515.pdf Supplementary Document Uploaded 2024-02-27 Repair queued
1018-0182 60-day FRN Published 10302023 88FR74204.pdf Supplementary Document Uploaded 2024-01-24 Repair queued
Draft ePermits Mock-up.docx Supplementary Document Uploaded 2021-09-02 Repair queued
SORN Updates 03162023 88FR16277.pdf Supplementary Document Uploaded 2024-01-24 Repair queued
Lacey Act 18 USC 42 as of 01242020.pdf Supplementary Document Uploaded 2021-05-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247434 Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged6(a)(2) Adverse Incident Report
247434 Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged
247430 (ePermits) Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged6(a)(2) Adverse Incident Report
247430 (ePermits) Form 3-2541: 6(a)(2) Adverse Incident Report Form Unchanged
247429 Form 3-2191: Results Report Form Form UnchangedResults Report Form
247429 Form 3-2191: Results Report Form Form Unchanged
247428 (ePermits) Form 3-2191: Results Report Form Form UnchangedResults Report Form
247428 (ePermits) Form 3-2191: Results Report Form Form Unchanged
247414 Form 3-2164: Worksheet for Field Application Locations Form UnchangedWorksheet for Field Application Locations
247414 Form 3-2164: Worksheet for Field Application Locations Form Unchanged
247406 (ePermits) Form 3-2164: Worksheet for Field Application Locations Form UnchangedWorksheet for Field Application Locations
247406 (ePermits) Form 3-2164: Worksheet for Field Application Locations Form Unchanged
247400 Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form UnchangedInventory Form for Use with Carbon Dioxide-Carp
247400 Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged
247398 (ePermits) Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form UnchangedInventory Form for Use with Carbon Dioxide-Carp
247398 (ePermits) Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp Form Unchanged
247397 Form 3–2130: Report on Receipt of Label Form UnchangedReport on Receipt of Label
247397 Form 3–2130: Report on Receipt of Label Form Unchanged
247395 (ePermits) Form 3–2130: Report on Receipt of Label Form UnchangedReport on Receipt of Label
247395 (ePermits) Form 3–2130: Report on Receipt of Label Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2028 36 Months From Approved 08/31/2025
42 0 42
10 0 10
45,000 0 45,000





Reginfo record details
10
table that charts list of burden
IC Title Form No. Form Name
(ePermits) Form 3-2164: Worksheet for Field Application Locations 3-2164
(ePermits) Form 3-2191: Results Report Form 3-2191
(ePermits) Form 3-2541: 6(a)(2) Adverse Incident Report 3-2541
(ePermits) Form 3–2130: Report on Receipt of Label 3-2130
(ePermits) Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp 3-2163
Form 3-2164: Worksheet for Field Application Locations 3-2164
Form 3-2191: Results Report Form 3-2191
Form 3-2541: 6(a)(2) Adverse Incident Report 3-2541
Form 3–2130: Report on Receipt of Label 3-2130
Form 3–2163: Inventory Form for Use with Carbon Dioxide-Carp 3-2163

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42 42 0 0 0 0
Annual Time Burden (Hours) 10 10 0 0 0 0
Annual Cost Burden (Dollars) 45,000 45,000 0 0 0 0


Reginfo record details
  No