Information Collection

1700-1754; 1703-1704; 1712; 1716-1717; 1721a, d, f-g; 1722 a-b, d; 1723b; 1743a - General

IC 10884 under ICR 200703-1010-003 · OMB 1010-0142.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0142 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	1700-1754; 1703-1704; 1712; 1716-1717; 1721a, d, f-g; 1722 a-b, d; 1723b; 1743a - General	Agency IC Tracking Number:	omm-1010-0142-ext-07

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1700-1754; 1703-1704; 1712 30 CFR 250.1716-1717; 1721a, d, f-g; 30 CFR 250.1722 a-b, d; 1723b; 1743a

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 25

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-1,917	1,967
Annual IC Time Burden (Hours)	150	-8,429	8,579
Annual IC Cost Burden (Dollars)	0	-1,032,006	1,032,006

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.