Information Collection

Industrial Sand and Gravel - Sold or Used

IC 179277 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 9-4010-A Industrial Sand and Gravel - Sold or Used	Form
9-4010-A Industrial Sand and Gravel - Sold or Used 9-4010-A.pdf	Form

IC Title:

Industrial Sand and Gravel - Sold or Used

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	9-4010-A	Industrial Sand and Gravel - Sold or Used	9-4010-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: 134

Number of Respondents for Small Entity: 13

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
Annual Number of Responses for this IC	134	134
Annual IC Time Burden (Hours)	201	201
Annual IC Cost Burden (Dollars)	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.