Information Collection

Revised Solid Minerals Payor Information Form

IC 117501 under ICR 199402-1010-001 · OMB 1010-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0064 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REVISED SOLID MINERALS PAYOR INFORMATION FORM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MMS-4030				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 380	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	20	130
Annual IC Time Burden (Hours)	145	-39	184
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.