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"application For Preauthorization Of A Cercla Response Action" And "claim For Cercla Response Action"
"APPLICATION FOR PREAUTHORIZATION OF A CERCLA RESPONSE ACTION" AND "CLAIM FOR CERCLA RESPONSE ACTION"
OMB: 2050-0106
IC ID: 138952
OMB.report
EPA/OLEM
OMB 2050-0106
ICR 199111-2050-002
IC 138952
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0106 can be found here:
1997-12-17 - Extension without change of a currently approved collection
1994-10-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
"APPLICATION FOR PREAUTHORIZATION OF A CERCLA RESPONSE ACTION" AND "CLAIM FOR CERCLA RESPONSE ACTION"
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1304.03
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
103
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
103
0
0
103
0
0
Annual IC Time Burden (Hours)
13,314
0
0
13,314
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.