Electrical Service Application -- 25 CFR 175

ICR 199909-1076-002

OMB: 1076-0021

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
11450
Migrated
ICR Details
1076-0021 199909-1076-002
Historical Active 199606-1076-002
DOI/BIA
Electrical Service Application -- 25 CFR 175
Extension without change of a currently approved collection   No
Regular
Approved without change 11/26/1999
Retrieve Notice of Action (NOA) 09/30/1999
In supporting statement, please clarify whether the ICR is associated with a final rule or a proposed revision to regulations.
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002 11/30/1999
4,750 0 4,750
1,188 0 1,188
0 0 0

The information is used to determine the consumer's electrical need. It will be used to determine consumption costs.

None
None


No

1
IC Title Form No. Form Name
Electrical Service Application -- 25 CFR 175

  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 4,750 4,750 0 0 0 0
Annual Time Burden (Hours) 1,188 1,188 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.
09/30/1999


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