Information Collection

Request to Exceed Regulatory Allowance Limitation (30 CFR 206.54(b)(2), 206.109(c)(2), 206.156(c)(3), 206.158(c)(3) and 206.177(c)(3))

IC 10784 under ICR 200201-1010-001 · OMB 1010-0095.

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Information Collection (IC) Details

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IC Title:	Request to Exceed Regulatory Allowance Limitation (30 CFR 206.54(b)(2), 206.109(c)(2), 206.156(c)(3), 206.158(c)(3) and 206.177(c)(3))	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
Form	MMS-4393				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	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	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	37	37
Annual IC Cost Burden (Dollars)	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.