Information Collection

Recordkeeping by Federally-Certified Commercial Applicators in Indian Country

IC 183103 under ICR 202402-2070-001 · OMB 2070-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8500-17 Recordkeeping by Federally-Certified Commercial Applicators in Indian Country	Form and Instruction
8500-17 Request for Pesticide Applicator Certification in Indian 0155.16 Form 85700-17.docx	Form and Instruction
8500-17 Request for Pesticide Applicator Certification in Indian 0155.16 Form 85700-17.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 171.11

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	8500-17	Request for Pesticide Applicator Certification in Indian Country	0155.16 Form 85700-17.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 940

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
	Approved	Previously Approved
Annual Number of Responses for this IC	940	940
Annual IC Time Burden (Hours)	2,914	2,914
Annual IC Cost Burden (Dollars)	0	0

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.