Safer Choice Cleaning Service Certification

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

Documents and Forms

Document Name Document Type
Form 9600-058 Safer Choice Cleaning Service Certification Form and Instruction
9600-058 Safer Choice Cleaning Service Certification Appl. 2692.02 Attachment J__9600-058- Community Cloud-based Salesforce System.docx www.epa.gov/saferchoice Form and Instruction
9600-059 Safer Choice Cleaning Service Certification Audit 2692.02 Attachment K__9600-059- Audit Submissions in Community Salesforce System.docx www.epa.gov/saferchoice Form and Instruction

Information Collection (IC) Details

IC Title:	Safer Choice Cleaning Service Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	9600-058	Safer Choice Cleaning Service Certification Appl.	2692.02 Attachment J__9600-058- Community Cloud-based Salesforce System.docx	https://www.epa.gov/saferchoice	Yes	Yes	Fillable Fileable Signable
Form and Instruction	9600-059	Safer Choice Cleaning Service Certification Audit	2692.02 Attachment K__9600-059- Audit Submissions in Community Salesforce System.docx	https://www.epa.gov/saferchoice	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	123	123
Annual IC Cost Burden (Dollars)	8,250	8,250

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.