Recordkeeping by Federally-Certified Commercial Applicators in Indian Country

Certification of Pesticide Applicators (Non-Substantive Change)

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Recordkeeping by Federally-Certified Commercial Applicators in Indian Country	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:

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 %

	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

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.