New Chemicals Program - CDX Electronic Signature

New Information Collection Activities Related to Electronic Submission of Certain TSCA Section 5 Notices

Documents and Forms

Document Name Document Type
Form ESA and Authorizat New Chemicals Program - CDX Electronic Signature Form
US EPA Electronic US EPA Electronic Signature Agreement eTSCA CDX ESA - Gold Man.doc cdx.epa.gov Form
ESA and Authorizat Authorization and Verification for Section 5 Notice Supp eTSCA CDX Verif -Suppl - Straw Man.doc cdx.epa.gov Form
ESA and Authorizat Verification of Company Authorizing Official eTSCA CDX Verif - Gold Man.doc cdx.epa.gov Form

Information Collection (IC) Details

IC Title:	New Chemicals Program - CDX Electronic Signature	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ESA and Authorization Form 2	Authorization and Verification for Section 5 Notice Support Submitter by Company Authorizing Official	eTSCA CDX Verif -Suppl - Straw Man.doc	https://cdx.epa.gov	Yes	No	Printable Only
Form	ESA and Authorization Form 1	Verification of Company Authorizing Official	eTSCA CDX Verif - Gold Man.doc	https://cdx.epa.gov	Yes	No	Printable Only
Form	US EPA Electronic Signature Agreement	US EPA Electronic Signature Agreement	eTSCA CDX ESA - Gold Man.doc	https://cdx.epa.gov	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: 295	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	98	98
Annual IC Time Burden (Hours)	172	172
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.