Information Collection

Lead and Smelter (Monthly)

IC 186609 under ICR 200807-1028-001 · OMB 1028-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4086 - MA Lead and Smelter (Monthly)	Form and Instruction
9-4086 - MA Lead and Smelter Lead and smelter4086.pdf	Form and Instruction

IC Title:

Lead and Smelter (Monthly)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	9-4086 - MA	Lead and Smelter	Lead and smelter4086.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23

Number of Respondents for Small Entity: 4

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	276	276
Annual IC Time Burden (Hours)	138	138
Annual IC Cost Burden (Dollars)	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.