Information Collection

Pumice and Pumicite (including Volcanic Ash)

IC 179257 under ICR 200702-1028-002 · OMB 1028-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0062 can be found here:

Documents and Forms

Document Name Document Type
Form 9-4004-A Pumice and Pumicite (including Volcanic Ash) Form and Instruction
9-4004-A Pumice and Pumicite (including Volcanic Ash) 9-4004-A.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pumice and Pumicite (including Volcanic Ash)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9-4004-A	Pumice and Pumicite (including Volcanic Ash)	9-4004-A.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 9

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.