Information Collection

Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification

IC 26791 under ICR 202501-2137-005 · OMB 2137-0584.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PHMSA F 999-92 Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification	Form and Instruction
Form PHMSA F 999-92 Natural Gas Base Grant Progress Report Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification	Form and Instruction
Form PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline Safety Program Certification	Form and Instruction
PHMSA F 999-92 Natural Gas Base Grant Progress Report 2021 Gas Progress Report TEMPLATE.pdf www.phmsa.dot.gov	Form and Instruction
PHMSA F 999-92 Natural Gas Base Grant Progress Report 2021 Gas Progress Report TEMPLATE.pdf www.phmsa.dot.gov	Form and Instruction
PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report 2021 Haz Liquid Progress Report TEMPLATE.pdf www.phmsa.dot.gov	Form and Instruction
PHMSA F 999-95 Hazardous Liquid Base Grant Progress Report 2021 Haz Liquid Progress Report TEMPLATE.pdf www.phmsa.dot.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

2137-0584 Renewal

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR Part 198 (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	PHMSA F 999-92			www.phmsa.dot.gov	Yes	Yes	Fillable Fileable
Form and Instruction	PHMSA F 999-95			www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	3,861	3,861
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.

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