Information Collection

Reporting Health and Safety Data Using Templates

IC 253772 under ICR 202601-2070-001 · OMB 2070-0223.

Documents and Forms

Document Name Document Type
Form 9600-032 Section 8(d) Health and Safety Data Reporting Reporting Health and Safety Data Using Templates Form and Instruction
Form PFN-7710-57 General Communications (Gencomms) Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 TPC Reduced Testing and Exemption Notification Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 TPC Reduced Testing and Exemption Notification Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 TPC Quality Control Limit Exceedance Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 TPC Failed Quarterly Test Title VI Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 Failure to Comply Title VI Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 Annual Report Product AB Title VI Reporting Health and Safety Data Using Templates Form and Instruction
Form 9600-049 TPC Annual Report Title VI Reporting Health and Safety Data Using Templates Form and Instruction
9600-032 Section 8(d) Health and Safety Data Reporting 2706.02 Form 9600-032.pdf Form and Instruction
PFN-7710-57 General Communications (Gencomms) 2706.04 GENCOMMS_Form PFN-7710-57_Revision.docx Form and Instruction
9600-049 TPC Reduced Testing and Exemption Notification 2706.02 Form 9600-049_TPC Reduced Testing and Exemption Notification_TitleVI.pdf Form and Instruction
9600-049 TPC Reduced Testing and Exemption Notification 2706.02 Form 9600-049_TPC Reduced Testing and Exemption Notification_TitleVI.pdf Form and Instruction
9600-049 TPC Quality Control Limit Exceedance 2706.02 Form 9600-049_TPC Quality Control Limit Exceedance_TitleVI.pdf Form and Instruction
9600-049 TPC Failed Quarterly Test Title VI 2706.02 Form 9600-049_TPC Failed Quarterly Test_TitleVI.pdf Form and Instruction
9600-049 Failure to Comply Title VI 2706.02 Form 9600-049_Failure to Comply TitleVI.pdf Form and Instruction
9600-049 Annual Report Product AB Title VI 2706.02 Form 9600-049_Annual Report Product AB_TitleVI.pdf Form and Instruction
9600-049 TPC Annual Report Title VI 2706.02 Form 9600-049_TPC Annual Report_TitleVI.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Health and Safety Data Using Templates	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 717 40 CFR 707 40 CFR 716 40 CFR 721 40 CFR 723 40 CFR 725 40 CFR 790 40 CFR 720 40 CFR 704

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9600-032	Section 8(d) Health and Safety Data Reporting	2706.02 Form 9600-032.pdf	Yes	No	Fillable Printable
Form and Instruction	PFN-7710-57	General Communications (Gencomms)	2706.04 GENCOMMS_Form PFN-7710-57_Revision.docx	Yes	Yes	Fillable Fileable
Form and Instruction	9600-049	TPC Reduced Testing and Exemption Notification	2706.02 Form 9600-049_TPC Reduced Testing and Exemption Notification_TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	TPC Reduced Testing and Exemption Notification	2706.02 Form 9600-049_TPC Reduced Testing and Exemption Notification_TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	TPC Quality Control Limit Exceedance	2706.02 Form 9600-049_TPC Quality Control Limit Exceedance_TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	TPC Failed Quarterly Test Title VI	2706.02 Form 9600-049_TPC Failed Quarterly Test_TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Failure to Comply Title VI	2706.02 Form 9600-049_Failure to Comply TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Annual Report Product AB Title VI	2706.02 Form 9600-049_Annual Report Product AB_TitleVI.pdf	Yes	No	Fillable Fileable
Form and Instruction	9600-049	TPC Annual Report Title VI	2706.02 Form 9600-049_TPC Annual Report_TitleVI.pdf	Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,155	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	245	245
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.

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