REQUEST FOR ASSIGNMENT OF A SUPPLIER AND/OR BASE PERIOD

ICR 198005-1903-001

OMB: 1903-0044

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
136765 Migrated
ICR Details
1903-0044 198005-1903-001
Historical Active 197901-1903-007
DOE/ERA
REQUEST FOR ASSIGNMENT OF A SUPPLIER AND/OR BASE PERIOD
Revision of a currently approved collection   No
Regular
Approved without change 05/30/1980
Retrieve Notice of Action (NOA) 05/21/1980
  Inventory as of this Action Requested Previously Approved
03/31/1982 03/31/1982 01/31/1981
40,000 0 12,000
320,000 0 12,000
0 0 0

THE FORM IS USED BY WHOLESALE PURCHASERS AND BULK END-USERS OF CONTROLLED PETROLEUM PRODUCTS TO APPLY TO ERA FOR ASSIGNMENT OF A SUPPLIER AND/OR ADJUSTMENT IN THE BASE PERIOD SUPPLY VOLUME FOR A PRODUCT.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR ASSIGNMENT OF A SUPPLIER AND/OR BASE PERIOD ERA-99

  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 40,000 12,000 0 0 28,000 0
Annual Time Burden (Hours) 320,000 12,000 0 0 308,000 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.
05/21/1980


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