Information Collection

Affected Public (State, Local, and Tribal Governments) (43 CFR Subpart 4120)

IC 178851 under ICR 200701-1004-002 · OMB 1004-0019.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Affected Public (State, Local, and Tribal Governments) (43 CFR Subpart 4120)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 4120

Information Collection Instruments:

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

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	210	210
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.