Safer Choice Program

EPA’s Safer Choice Program Product and Partner Recognition Activities (Renewal)

Documents and Forms

Document Name Document Type
Form 9600-017 Safer Choice Program Form and Instruction
9600-017 Product and Ingredient Submission 2692.02 Attachment B__9600-017-Ingredient Submissions Comm. Cloud-based.docx www.epa.gov/saferchoice Form and Instruction
9600-018 Private Label Submission 2692.02 Attachment C__9600-018- Ingredient Submissions in Comm.docx www.epa.gov/saferchoice Form and Instruction

Information Collection (IC) Details

IC Title:	Safer Choice Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9600-017	Product and Ingredient Submission	2692.02 Attachment B__9600-017-Ingredient Submissions Comm. Cloud-based.docx	https://www.epa.gov/saferchoice	Yes	Yes	Fillable Fileable
Form and Instruction	9600-018	Private Label Submission	2692.02 Attachment C__9600-018- Ingredient Submissions in Comm.docx	https://www.epa.gov/saferchoice	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 157	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	157	157
Annual IC Time Burden (Hours)	1,596	1,596
Annual IC Cost Burden (Dollars)	545,600	545,600

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.