Information Collection

Permit Application Questions, Amended Permit Application Questions, Claims Questions

IC 179012 under ICR 200703-1513-003 · OMB 1513-0124.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0124 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1513-XXXX Questions Amendments Rating.doc	Other-Questionnaire Survey
1513-XXXX Questions Applications Rating.doc	Other-Questionnaire Survey
1513-XXXX Questions Claims Rating.doc	Other-Questionnaire Survey

IC Title:

Permit Application Questions, Amended Permit Application Questions, Claims Questions

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire Survey	1513-XXXX Questions Amendments Rating.doc	Yes	No	Printable Only
Other-Questionnaire Survey	1513-XXXX Questions Applications Rating.doc	Yes	No	Printable Only
Other-Questionnaire Survey	1513-XXXX Questions Claims Rating.doc	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	625	625
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.