Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (form 3540-16)

Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2070-0078 can be found here:

Documents and Forms

Document Name Document Type
2012 Instructions for EPA Form 3540-16.pdf Instruction
3540-16 Pesticide Report for Pesticide-Producing and Device-Prod 2012 Pesticide Report (EPA Form 3540-16).pdf Form

Information Collection (IC) Details

IC Title:	Pesticide Registration Application, Notification and Report for Pesticide Producing Establishments (form 3540-16)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 167

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2012 Instructions for EPA Form 3540-16.pdf		Yes	No	Printable Only
Form	3540-16	Pesticide Report for Pesticide-Producing and Device-Producing Establishments	2012 Pesticide Report (EPA Form 3540-16).pdf		Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,830	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,830	580	13,250
Annual IC Time Burden (Hours)	19,777	829	18,948
Annual IC Cost Burden (Dollars)	0	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.