Information Collection

1604f; 1605c; 1609a; 1611d(3), f, g; 1613e; 1616c; 1619a; 1621; 1625d(3)d, f; 1628b, d; 1629b(1)ii, iv; 1630b; 1631; 1634b - Record/Retain

IC 180154 under ICR 200705-1010-004 · OMB 1010-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0086 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:	1604f; 1605c; 1609a; 1611d(3), f, g; 1613e; 1616c; 1619a; 1621; 1625d(3)d, f; 1628b, d; 1629b(1)ii, iv; 1630b; 1631; 1634b - Record/Retain	Agency IC Tracking Number:	omm-1010-0086 ext '07

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1629b(1)ii, iv; 1630b; 30 CFR 250.1631; 1634b 30 CFR 250.1616c; 1619a; 1621 30 CFR 250.1625d(3)d, f; 1628b, d 30 CFR 250.1611d(3), f, g; 1613e; 30 CFR 250.1604f; 1605c; 1609a;

Information Collection Instruments:

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

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 486	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	486	486
Annual IC Time Burden (Hours)	849	849
Annual IC Cost Burden (Dollars)	0	0

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.