Application for Emergency Exemption for Pesticides (FIFRA 18)

Pesticide Program Public Sector Collections (FIFRA Sections 18 & 24(c))

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0182 can be found here:

Documents and Forms

Document Name Document Type
Form EPA Form 8570-4 Application for Emergency Exemption for Pesticides (FIFRA 18) Form
EPA Form 8570-4 Confidential Statement of Formula 2311.02_ss_Attachment-F_EPA Form 8570-4.pdf www.epa.gov/opprd001/forms/8570-4.pdf Form

Information Collection (IC) Details

IC Title:	Application for Emergency Exemption for Pesticides (FIFRA 18)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR Part 166 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EPA Form 8570-4	Confidential Statement of Formula	2311.02_ss_Attachment-F_EPA Form 8570-4.pdf	www.epa.gov/opprd001/forms/8570-4.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: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	185	57	128
Annual IC Time Burden (Hours)	18,315	5,643	12,672
Annual IC Cost Burden (Dollars)	0	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.