Information Collection

1000-1147; 1001b; 1004c; 1005a; 1006; 1014d; 1022g; 1027; 1034d(2); 1044c(1); 1045a; 1068b; 1093b(5); 1101 - General

IC 179791 under ICR 200704-1010-004 · OMB 1010-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0050 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	1000-1147; 1001b; 1004c; 1005a; 1006; 1014d; 1022g; 1027; 1034d(2); 1044c(1); 1045a; 1068b; 1093b(5); 1101 - General	Agency IC Tracking Number:	omm-1010-0050-re AD11

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1000-1147; 1001b; 1004c; 30 CFR 250.1005a; 1006; 1014d; 1022g; 30 CFR 250.1027; 1034d(2); 1044c(1); 30 CFR 250.1045a; 1068b; 1093b(5); 30 CFR 250.1101

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 Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 613	Number of Respondents for Small Entity: 109

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

Percentage of Respondents Reporting Electronically: 33 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	613	613
Annual IC Time Burden (Hours)	2,828	2,828
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.