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0161.17 Attach A- Salesforce Appl.

ICR 202608-2070-005 · OMB 2070-0027 · Object 172112400.

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application/octet-stream
0161.17 Attach A- Salesforce Appl.
Siu, Carolyn
Impress
2026-06-18
2026-08-29
complete

Extracted Text

Foreign Purchaser
Acknowledgment
Statement of
Unregistered Pesticides
(Salesforce Application)
OMB Control No. 2070-0027
EPA ICR No. 0161
Attachment A

Form No. 9600-026

Login
Screen
Form No. 9600026

PRA Burden Screen
Paperwork Reduction Notice: This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501
et seq. (OMB Control No. 2070-0027). Responses to this collection of information are mandatory for certain persons, as specified at
40 CFR 152.25(f). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of
information is estimated to be 1-8 hours per response. Send comments on the Agency’s need for this information, the accuracy of the
provided burden estimates and any suggested methods for minimizing respondent burden to the Deputy Director, Data and
Enterprise Programs Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any correspondence. Do not send the completed form to this address.

Form No. 9600026

OMB Control No. 2070-0027
EPA ICR No. 0161

Paperwork Reduction Notice: This collection of information is approved by OMB under the Paperwork Reduction Act,
44 U.S.C. 3501 et seq. (OMB Control No. 2070-0027). Responses to this collection of information are mandatory for
certain persons, as specified at 40 CFR 152.25(f). An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and
recordkeeping burden for this collection of information is estimated to be 1-8 hours per response. Send comments on
the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for
minimizing respondent burden to the Deputy Director, Data and Enterprise Programs Division, U.S. Environmental
Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in
any correspondence. Do not send the completed form to this address.

Form No. 9600026

OMB Control No. 2070-0027
EPA ICR No. 0161

v
1. Respondents would
select the Action Type

2. Respondents would
select the Action: Foreign
Purchaser
Acknowledgement
Statement

Form No. 9600026

3. Respondents would
select “No Product”
4. Respondents would
upload the FPAS

Paperwork Reduction Notice: This collection of information is approved by OMB under the Paperwork Reduction Act,
44 U.S.C. 3501 et seq. (OMB Control No. 2070-0027). Responses to this collection of information are mandatory for
certain persons, as specified at 40 CFR 152.25(f). An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and
recordkeeping burden for this collection of information is estimated to be 1-8 hours per response. Send comments on
the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for
minimizing respondent burden to the Deputy Director, Data and Enterprise Programs Division, U.S. Environmental
Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in
any correspondence. Do not send the completed form to this address.

5. Respondents
would click SUBMIT