Tenant Acknowledgements of Disclosure

Residential Lead-Based Paint Hazard Disclosure Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0151 can be found here:

Documents and Forms

Document Name Document Type
Tenant Acknowledgements of Disclosure Form and Instruction
1710.07_ss_Attachment-6.pdf www2.epa.gov/lead/protect-your-family-lead-your-home-real-estate-disclosure Other-Brochure
Disclosure of Information on Lead-Based Paint and/or Lea 1710.07_ss_Attachment-5.pdf www2.epa.gov/sites/production/files/documents/lesr_eng.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Tenant Acknowledgements of Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 745 24 CFR 35

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards (rental/lease of property)	1710.07_ss_Attachment-5.pdf	http://www2.epa.gov/sites/production/files/documents/lesr_eng.pdf	Yes	No	Printable Only
Other-Brochure			1710.07_ss_Attachment-6.pdf	http://www2.epa.gov/lead/protect-your-family-lead-your-home-real-estate-disclosure	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: 8,400,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,400,000	800,000	7,600,000
Annual IC Time Burden (Hours)	700,000	66,667	633,333
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.