Information Collection

Natural and Synthetic Gem Material (State/Local Govt)

IC 179316 under ICR 200805-1028-001 · OMB 1028-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4028-A Natural and Synthetic Gem Material (State/Local Govt)	Form
9-4028-A Natural and Synthetic Gem Material 9-4028-A.pdf	Form

IC Title:

Natural and Synthetic Gem Material (State/Local Govt)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	9-4028-A	Natural and Synthetic Gem Material	9-4028-A.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	1	9
Annual IC Time Burden (Hours)	3	1	2
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.