Natural and Synthetic Gem Material (Private Sector)

Industrial Minerals Surveys

⚠️ Notice: This information collection may be referencing outdated material.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 9-4028-A Natural and Synthetic Gem Material (Private Sector) Form
9-4028-A Natual and Synthetic Gem Material 9-4028-A.pdf Form

Information Collection (IC) Details

IC Title:	Natural and Synthetic Gem Material (Private Sector)	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	9-4028-A	Natual and Synthetic Gem Material	9-4028-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: 312	Number of Respondents for Small Entity: 225

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	312	312
Annual IC Time Burden (Hours)	78	78
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.