9600-011 Form U- Primary Import

Form Approved OMB Number: 2070-0162
Approval Expires: 10/31/2026

Paperwork Reduction Act Notice. This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C.
3501 et seq. (OMB Control No. 2070-0162). Responses to this collection of information are mandatory for certain persons, as
specified at 40 CFR 711. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this
collection of information is estimated to be 135 hours per response. Send comments on the Agency!s need for this information, the
accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support
Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the
OMB control number in any correspondence. Do not send the completed form to this address.

EPA Form 9600-011 (Rev 01/24). Previous editions are obsolete.

EPA Form 9600-011 (Rev 01/24). Previous editions are obsolete.

EPA Form 9600-011 (Rev 01/24). Previous editions are obsolete.

EPA Form 9600-011 (Rev 01/24). Previous editions are obsolete.