Information Collection

Mine, Development, and Mineral Exploration Supplement

IC 11217 under ICR 200701-1028-001 · OMB 1028-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0060 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4000-A Mine, Development, and Mineral Exploration Supplement	Form and Instruction
9-4000-A Mine, Development, and Mineral Exploration G04 usgs form 9-4000-A & instructions.pdf	Form and Instruction

IC Title:

Mine, Development, and Mineral Exploration Supplement

Agency IC Tracking Number:

Form 9-4000-A

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	9-4000-A	Mine, Development, and Mineral Exploration	G04 usgs form 9-4000-A & instructions.pdf		Yes	Yes	Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 617

Number of Respondents for Small Entity: 154

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	617	-137	754
Annual IC Time Burden (Hours)	463	-103	566
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.