PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure

PCBs: Consolidated Reporting and Recordkeeping Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0112 can be found here:

Documents and Forms

Document Name Document Type
Form EPA Form 7710-53 PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure Form
EPA Form 7710-53 Notification of PCB Activity 7710-53.pdf www.epa.gov/pcb/pubs/771053.pdf Form
EPA Form 7720-12 PCB Transformer Registration 7720-12.pdf www.epa.gov/pcb/pubs/772012.pdf Form
7710-53instructions.pdf Notification of PCB Activity - Instructions for EPA Form 7710-53 IC Document
7720-12instructions.pdf PCB Transformer Registration - Instructions for EPA Form 7720-12 IC Document

Information Collection (IC) Details

IC Title:	PCBs, Consolidated Reporting and Record Keeping Requirements - 3rd Party Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 761

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EPA Form 7710-53	Notification of PCB Activity	7710-53.pdf	http://www.epa.gov/pcb/pubs/771053.pdf	Yes	No	Printable Only
Form	EPA Form 7720-12	PCB Transformer Registration	7720-12.pdf	http://www.epa.gov/pcb/pubs/772012.pdf	Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 175,369	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	175,369	175,369
Annual IC Time Burden (Hours)	16,829	16,829
Annual IC Cost Burden (Dollars)	12,600	12,600

Documents for IC

Title	Document	Date Uploaded
Notification of PCB Activity - Instructions for EPA Form 7710-53	7710-53instructions.pdf	01/25/2008
PCB Transformer Registration - Instructions for EPA Form 7720-12	7720-12instructions.pdf	01/25/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.