View Information Collection (IC)

View Information Collection (IC)

IC Title:	Fuel Annual 1	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 79 Subparts A,B,C and D

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3520-12A	Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel	EPA Form 3520-12A (11-01-2013) - Fuel Manufacturer Annual Report for Motor Vehicle Gasoline or Diesel Fuel (August 1, 2014).pdf	https://www.epa.gov/fuels-registration-reporting-and-compliance-help/how-report-annually-fuel-and-fuel-additive	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,000	0	60	0	0	940
Annual IC Time Burden (Hours)	3,000	0	180	0	0	2,820
Annual IC Cost Burden (Dollars)	25,000	0	20,300	0	0	4,700

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.