Data Submitters

Tier 1 Screening of Certain Chemicals Under the Endocrine Disruptor Screening Program (EDSP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0176 can be found here:

Documents and Forms

Document Name Document Type
Form 6300-05-C Data Submitters Form
6300-05 Initial Response Form for Individual Order Recipients 2249.01_Amendment-B2_IRF-Individuals-2009-09-10.pdf Form
6300-05-C Initial Response Form for Consortium/ Task Force 2249.01_Amendment-C2_IRF-Consortium-2009-09-10.pdf Form
2249.01_Amendment-D2_OrderTemplate_Inerts-2009-09-16.pdf Amended FFDCA 408(p) Order Template for Pesticide Inert Ingredients (As of September 8, 2009) IC Document
2249.01_Amendment-E2_OrderTemplate_PAIs-2009-09-16.pdf Amended FFDCA 408(p) Order Template for Pesticide Registrants (As of September 8, 2009) IC Document

Information Collection (IC) Details

IC Title:	Data Submitters	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6300-05-C	Initial Response Form for Consortium/ Task Force	2249.01_Amendment-C2_IRF-Consortium-2009-09-10.pdf		Yes	Yes	Fillable Printable
Form	6300-05	Initial Response Form for Individual Order Recipients	2249.01_Amendment-B2_IRF-Individuals-2009-09-10.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 143	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	143	143
Annual IC Time Burden (Hours)	139,127	139,127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Amended FFDCA 408(p) Order Template for Pesticide Inert Ingredients (As of September 8, 2009)	2249.01_Amendment-D2_OrderTemplate_Inerts-2009-09-16.pdf	10/01/2009
Amended FFDCA 408(p) Order Template for Pesticide Registrants (As of September 8, 2009)	2249.01_Amendment-E2_OrderTemplate_PAIs-2009-09-16.pdf	10/01/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.