Information Collection

506; 511; LTL; 516 tests, d(5), e-f, i-j - Document/Record/Retain

IC 180074 under ICR 200705-1010-003 · OMB 1010-0067.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	506; 511; LTL; 516 tests, d(5), e-f, i-j - Document/Record/Retain	Agency IC Tracking Number:	omm-1010-0067 ext '07

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.516.d(5), e-f, i-j 30 CFR 250.506; 511; LTL; 516 tests,

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 Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,584	Number of Respondents for Small Entity: 91

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

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17,584	17,584
Annual IC Time Burden (Hours)	9,709	9,709
Annual IC Cost Burden (Dollars)	0	0

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