Information Collection

Safer Choice Cleaning Service Certification

IC 271861 under ICR 202502-2070-004 · OMB 2070-0221.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9600-058 Safer Choice Cleaning Service Certification Appl. Safer Choice Cleaning Service Certification	Form and Instruction
Form 9600-059 Safer Choice Cleaning Service Certification Audit Safer Choice Cleaning Service Certification	Form and Instruction
9600-058 Safer Choice Cleaning Service Certification Appl. 2692.02 Attachment J__9600-058- Community Cloud-based Salesforce System.docx www.epa.gov/saferchoice	Form and Instruction
9600-059 Safer Choice Cleaning Service Certification Audit 2692.02 Attachment K__9600-059- Audit Submissions in Community Salesforce System.docx www.epa.gov/saferchoice	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	9600-058			https://www.epa.gov/saferchoice	Yes	Yes	Fillable Fileable Signable
Form and Instruction	9600-059			https://www.epa.gov/saferchoice	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: 11

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	123	123
Annual IC Cost Burden (Dollars)	8,250	8,250

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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