Information Collection

Self-Identification and Certification

IC 233592 under ICR 202402-2070-003 · OMB 2070-0208.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9600-008 Self-Identification and Certification	Form and Instruction
ePMN_User Guide_Primary AO.pdf	Other-User Guide, including Screensh
Risk Evaluation Rule User Guide - Primary Authorized Official v2.0 updated CISS ICR language.pdf	Other-User Guide, including Screensh
9600-008 Notification of TSCA Fee Action 2569.06 Reporting Form 9600-008.pdf www.cdx.gov	Form and Instruction
9600-008 Notification of TSCA Fee Action 2569.06 Reporting Form 9600-008.pdf www.cdx.gov	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 700, 720, 723, 725, 790, 791 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	9600-008	Notification of TSCA Fee Action	2569.06 Reporting Form 9600-008.pdf	www.cdx.gov	Yes	Yes	Fillable Fileable Signable
Other-User Guide, including Screenshots			ePMN_User Guide_Primary AO.pdf		Yes	Yes	Fillable Fileable Signable
Other-User Guide, including Screenshots			Risk Evaluation Rule User Guide - Primary Authorized Official v2.0 updated CISS ICR language.pdf		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: 179

Number of Respondents for Small Entity: 53

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	179	64	115
Annual IC Time Burden (Hours)	149	53	96
Annual IC Cost Burden (Dollars)	0	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.