07-L-ROCR-001-2025 Exhibit-E-Lead-Based_Paint_Disclosure.pdf
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- Attached to
- Rock Creek Park Little House Leasing Opportunity
- Solicitation number
- ROCRL0012025
About this file
The document is an Exhibit E: Lead-Based Paint Disclosure of Information form for the Little House lease (NPS Lease # L-ROCR-001-2025) associated with the Rock Creek Park Little House Leasing Opportunity. The form provides critical information about potential lead-based paint hazards in housing built before 1978, requiring the lessor to disclose known lead-based paint or lead-based paint hazards and provide the lessee with a federally approved lead poisoning prevention pamphlet.
The document outlines a standardized disclosure process where the lessor must indicate their knowledge of lead-based paint hazards, provide any available records or reports, and the lessee must acknowledge receipt of information and the lead poisoning prevention pamphlet. The form includes sections for the lessor's disclosure, the lessee's acknowledgement, and a certification of accuracy, and is approved under the Paperwork Reduction Act with OMB Control No. 2070-0151, with an estimated 0.12 hours required for completion.
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Text version
Little House NPS Lease # L-ROCR-001-2025
EXHIBIT E: Lead-Based Paint Disclosure of Information
1. Lead Warning Statement
Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.
2. Lessor’s Disclosure
(a)Presence of lead-based paint and/or lead-based paint hazards (initial (i) or (ii) below):
(i) Known lead-based paint and/or lead-based paint hazards are present in the housing.
Describe what is known, such as the basis for the determination that lead-based paint and/or lead-based paint hazards exist, the location of the lead-based paint and/or lead-based paint hazards, and the condition of the painted surfaces:
(ii) Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.
(b) Records and reports available to the Lessor (initial (i) or (ii) below):
(i) Lessor has provided the Lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing. If applicable, such documents are listed below:
(ii) Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.
3. Lessee’s Acknowledgement
(a) Lessee has (initial (i) or (ii) below):
(i) received copies of all records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing listed above.
(ii) not received any records and reports regarding lead-based paint and/or lead-based paint hazards in the housing.
(b) Lessee has received the pamphlet Protect Your Family from Lead in Your Home (initial).
4. Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.
Lessor Date
Lessee Date
5. Paperwork Reduction Act
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2070-0151). Responses to this collection of information are mandatory (40 CFR 745). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 0.12 hours per response. Send comments on the agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any correspondence. Do not send the completed form to this address.
EXHIBIT E: Lead-Based Paint Disclosure of Information
File details come from the government source that posted it. Updated .