Information Collection

602; 605; 612; 613; 615a, e(4); 616a, d; 606-618 - Requests

IC 10684 under ICR 200705-1010-005 · OMB 1010-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0043 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:	602; 605; 612; 613; 615a, e(4); 616a, d; 606-618 - Requests	Agency IC Tracking Number:	omm-1010-0043 ext '07

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.615a, e(4); 616a, d; 30 CFR 250.606-618 30 CFR 250.602; 605; 612; 613;

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: 791	Number of Respondents for Small Entity: 91

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

Percentage of Respondents Reporting Electronically: 52 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	791	-11,588	12,379
Annual IC Time Burden (Hours)	1,198	-18,261	19,459
Annual IC Cost Burden (Dollars)	0	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.