Notice of Supplemental Distribution of a Registered Pesticide Product

Notice of Supplemental Distribution of a Registered Pesticide Product (Renewal)

Documents and Forms

Document Name Document Type
Form EPA Form 8570-5 Notice of Supplemental Distribution of a Registered Pesticide Product Form and Instruction
EPA Form 8570-5 Notice of Supplemental Distribution of a Registered Pest EPA Form 8570-5 Supplemental Distributor.Revised 2018.pdf www.epa.gov/opprd001/forms/8570-5.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Notice of Supplemental Distribution of a Registered Pesticide Product	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 152

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EPA Form 8570-5	Notice of Supplemental Distribution of a Registered Pesticide Product	EPA Form 8570-5 Supplemental Distributor.Revised 2018.pdf	http://www.epa.gov/opprd001/forms/8570-5.pdf	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,885	Number of Respondents for Small Entity: 1,885

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,885	1,885
Annual IC Time Burden (Hours)	603	603
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.