Information Collection

Reporting Health and Safety Data Using Templates

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

Documents and Forms

Documents and forms in this information collection
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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9600-032	Yes	No	Fillable Printable
Form and Instruction	PFN-7710-57	Yes	Yes	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	Yes	No	Fillable Fileable
Form and Instruction	9600-049	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 %

table that charts list of burden
	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

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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