Information Collection

502; 512; 500-517 - Requests

IC 10736 under ICR 200705-1010-003 · OMB 1010-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

502; 512; 500-517 - Requests

Agency IC Tracking Number:

omm-1010-0067 ext '07

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 250.502; 512; 500-517

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 608

Number of Respondents for Small Entity: 91

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	608	-12,154	12,762
Annual IC Time Burden (Hours)	1,108	-10,887	11,995
Annual IC Cost Burden (Dollars)	0	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.