OMB control number

Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 (Renewal)

OMB 2050-0077 · EPA/OLEM.

OMB 2050-0077

The Agency requires applicants for reimbursement under this program authorized under Section 123 of CERCLA to submit an application that demonstrates consistency with program eligibility requirements. This is necessary to ensure proper use of the Superfund. EPA reviews the information to ensure compliance with all statutory and program requirements. The applicants are local governments who have incurred expenses, above and beyond their budgets, for hazardous substance response. Submission of this information is voluntary and to the applicants benefit. The Agency requires applicants for reimbursement under this program authorized under Section 123 of CERCLA to submit an application that demonstrates consistency with program eligibility requirements. This is necessary to ensure proper use of the Superfund. EPA reviews the information to ensure compliance with all statutory and program requirements. The applicants are local governments who have incurred expenses, above and beyond their budgets, for hazardous substance response. Submission of this information is voluntary and to the applicants benefit.

The latest form for Application for Reimbursement to Local Governments for Emergency Response to Hazardous Substance Releases Under CERCLA section 123 (Renewal) expires 2026-10-31 and is listed under ICR 202308-2050-001.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202308-2050-001 Reinstatement with change of a previously approved collection 2023-09-07 Approved with change
202203-2050-005 Extension without change of a currently approved collection 2022-03-25 Improperly submitted and continue
201806-2050-002 Revision of a currently approved collection 2018-06-29 Approved with change
201412-2050-003 Extension without change of a currently approved collection 2015-01-20 Approved without change
201110-2050-001 Extension without change of a currently approved collection 2011-10-25 Approved without change
200802-2050-004 Extension without change of a currently approved collection 2008-02-27 Approved without change
200411-2050-006 Extension without change of a currently approved collection 2004-11-18 Approved without change
200106-2050-002 Extension without change of a currently approved collection 2001-06-26 Approved without change
199801-2050-002 Revision of a currently approved collection 1998-01-28 Approved without change
199407-2050-004 Revision of a currently approved collection 1994-07-28 Approved without change
199104-2050-002 Reinstatement with change of a previously approved collection 1991-04-17 Approved without change
198907-2050-006 No material or nonsubstantive change to a currently approved collection 1989-07-25 Approved with change
198904-2050-010 No material or nonsubstantive change to a currently approved collection 1989-04-10 Approved with change
198710-2050-004 New collection (Request for a new OMB Control Number) 1987-10-19 Approved without change