Information Collection

In-Kind Crude Helium Sales Contract (43 CFR 3195)

IC 10582 under ICR 200707-1004-001 · OMB 1004-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1422X-922 In-Kind Crude Helium Sales Contract (43 CFR 3195)	Form
1422X-922 In Kind Crude Helium Sales Contract InKindHeliumSalesContract07[1].doc	Form

IC Title:

In-Kind Crude Helium Sales Contract (43 CFR 3195)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3195

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
Form	1422X-922	In Kind Crude Helium Sales Contract	InKindHeliumSalesContract07[1].doc		No		Paper Only

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

Number of Respondents for Small Entity: 8

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	8	-24	32
Annual IC Time Burden (Hours)	32	-64	96
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.