Order Recipients - Manufacturers and Importers of Pesticide Inert Ingredients

Tier 1 Screening of Certain Chemicals Under the Endocrine Disruptor Screening Program (EDSP)

Documents and Forms

Document Name Document Type
Form EPA Form No. 6300- Order Recipients - Manufacturers and Importers of Pesticide Inert Ingredients Form and Instruction
2249.03_Order Template for PAIs.pdf Instruction
2249.03_Order Template for Inerts.pdf Instruction
EPA Form No. 6300- Initial Response Form for Individual Order Recipients (A 2249.03_EPA Form 6300-05.pdf Form and Instruction
EPA Form No. 6300- Initial Response Form for Consortium/Task Force (As of A 2249.03_EPA Form 6300-05-C.pdf Form and Instruction
2249.03_Attachment_B.pdf Policy and Procedures for EDSP Tier 1 IC Document

Information Collection (IC) Details

IC Title:	Order Recipients - Manufacturers and Importers of Pesticide Inert Ingredients	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EPA Form No. 6300-05	Initial Response Form for Individual Order Recipients (As of April 3, 2009)	2249.03_EPA Form 6300-05.pdf	Yes	No	Fillable Printable
Form and Instruction	EPA Form No. 6300-05-C	Initial Response Form for Consortium/Task Force (As of April 3, 2009)	2249.03_EPA Form 6300-05-C.pdf	Yes	No	Fillable Printable
Instruction			2249.03_Order Template for PAIs.pdf	No	No	Paper Only
Instruction			2249.03_Order Template for Inerts.pdf	No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	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	15	15
Annual IC Time Burden (Hours)	1,020	1,020
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Policy and Procedures for EDSP Tier 1	2249.03_Attachment_B.pdf	10/24/2012

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