PROOF OF CONSTRUCTION - AFFIDAVIT OF ENGINEER

ICR 198201-1004-011

OMB: 1004-0082

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
117030 Migrated
ICR Details
1004-0082 198201-1004-011
Historical Active
DOI/BLM
PROOF OF CONSTRUCTION - AFFIDAVIT OF ENGINEER
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/27/1982
Retrieve Notice of Action (NOA) 01/20/1982
This is a provisional clearance only. A complete justification package is ecpected before the expiration date. The burden hour adjustment is based on the figure used in the BLM FY 1982 ICB request.
  Inventory as of this Action Requested Previously Approved
04/30/1982 04/30/1982
300 0 0
15 0 0
0 0 0

THIS FORM SERVES AS CERTIFICATION THAT RIGHTS-OF-WAY HAS BEEN CONSTRUCTED AS GRANTED AND IN ACCORDANCE WITH GRANT TERMS.

None
None


No

1
IC Title Form No. Form Name
PROOF OF CONSTRUCTION - AFFIDAVIT OF ENGINEER WY-2800-19

  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 300 0 0 0 300 0
Annual Time Burden (Hours) 15 0 0 0 15 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.
01/20/1982


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