PESP Memebership Application

Pesticide Environmental Stewardship Program Annual Measures Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0188 can be found here:

Documents and Forms

Document Name Document Type
Form 9600-02 PESP Memebership Application Form and Instruction
9600-02 PESP Membership Application 2415ss02_AttachG_Form 9600-02.docx www.epa.gov/pestwise/pesp/application_form.html Form and Instruction

Information Collection (IC) Details

IC Title:	PESP Memebership Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9600-02	PESP Membership Application	2415ss02_AttachG_Form 9600-02.docx	http://www.epa.gov/pestwise/pesp/application_form.html	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	8,035	8,035
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.