Information Collection

Application for Waiver of Surface Facilities Requirements -- 30 CFR 71.403, 75.1712-4, and 75.1712-5

IC 14377 under ICR 199810-1219-006 · OMB 1219-0024.

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Information Collection (IC) Details

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IC Title:	Application for Waiver of Surface Facilities Requirements -- 30 CFR 71.403, 75.1712-4, and 75.1712-5	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 419	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	940	940
Annual IC Time Burden (Hours)	384	384
Annual IC Cost Burden (Dollars)	0	0

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