Information Collection

Fuel Annual 1

IC 179159 under ICR 202401-2060-004 · OMB 2060-0150.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3520-12A Fuel Annual 1	Form and Instruction
3520-12A Fuel Manufacturer Annual Report for Motor Vehicle Gasoli EPA Form 3520-12A (11-01-2013) - Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel (August 1, 2014).pdf www.epa.gov/fuels-registration-reporting-and-compliance-help/how-report-annually-fuel-and-fuel-additive	Form and Instruction

IC Title:

Fuel Annual 1

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 79 Subparts A,B,C and D

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3520-12A	Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel	EPA Form 3520-12A (11-01-2013) - Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel (August 1, 2014).pdf	https://www.epa.gov/fuels-registration-reporting-and-compliance-help/how-report-annually-fuel-and-fuel-additive	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	60	940
Annual IC Time Burden (Hours)	3,000	180	2,820
Annual IC Cost Burden (Dollars)	25,000	20,300	4,700

Documents for IC

table that charts IC Documents
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.