Information Collection

250.1101-1105 - Requests

IC 185062 under ICR 200805-1010-004 · OMB 1010-0041.

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IC Title:

250.1101-1105 - Requests

Agency IC Tracking Number:

OMM-1010-0041 ext '08

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1101-1105

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: 1,225

Number of Respondents for Small Entity: 858

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,225	1,225
Annual IC Time Burden (Hours)	1,349	1,349
Annual IC Cost Burden (Dollars)	323,100	323,100

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.