Large Volume Gas Release Report

Incident Reports for Natural Gas Pipeline Operators

Documents and Forms

Document Name Document Type
Form PHMSA F7100.5 Large Volume Gas Release Report Form and Instruction
PHMSA F7100.5 Large Volume Release Report Large Volume Release Report Form and Instructions PHMSA F7100.5.pdf www.phmsa.dot.gov Form and Instruction
PHMSA F7100.5 Large Volume Release Report Large Volume Release Report Form and Instructions PHMSA F7100.5.pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Large Volume Gas Release Report	Agency IC Tracking Number:	LDAR NPRM

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 191

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F7100.5	Large Volume Release Report	Large Volume Release Report Form and Instructions PHMSA F7100.5.pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 593	Number of Respondents for Small Entity: 193

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	593	593
Annual IC Time Burden (Hours)	7,116	7,116
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.