Information Collection

Payments in Lieu of Taxes (PLT) Act), Statement of Federal Lands Payments, (43 CFR 44)

IC 11581 under ICR 200609-1093-001 · OMB 1093-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1093-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Payments in Lieu of Taxes (PLT) Act), Statement of Federal Lands Payments, (43 CFR 44)	Form
Statement of Federal Lands Payment PILT form for all states.doc	Form

IC Title:

Payments in Lieu of Taxes (PLT) Act), Statement of Federal Lands Payments, (43 CFR 44)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 44

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Statement of Federal Lands Payment	PILT form for all states.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43	-7	50
Annual IC Time Burden (Hours)	2,150	1,150	1,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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