APPLICATION FOR STATE FOR PETROLEUM HARDSHIP OR EMERGENCY RELIEF

ICR 197901-1903-006

OMB: 1903-0005

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1903-0005 197901-1903-006
Historical Active 197808-1903-007
DOE/ERA
APPLICATION FOR STATE FOR PETROLEUM HARDSHIP OR EMERGENCY RELIEF
Extension without change of a currently approved collection   No
Regular
Approved without change 01/31/1979
Retrieve Notice of Action (NOA) 01/22/1979
  Inventory as of this Action Requested Previously Approved
01/31/1981 01/31/1981 01/31/1979
5,000 0 5,000
5,000 0 5,000
0 0 0

PROVIDE THE MEANS FOR WHOLESALE PURCHASER-CONSUMERS AND END USERS TO OBTAIN TEMPORARY RELIEF FROM HARDSHIP OR EMERGENCY CONDITIONS WHICH RESULT FROM THE APPLICANT'S INABILITY TO OBTAIN A SUFFICIENT QUANTITY OF PETROLEUM PRODUCT WHICH IS SUBJECT TO STATE SET-ASIDE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR STATE FOR PETROLEUM HARDSHIP OR EMERGENCY RELIEF ERA-135

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 5,000 5,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/22/1979


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