Information Collection

Mine, Development, and Mineral Exploration Supplement

IC 11217 under ICR 200908-1028-001 · OMB 1028-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0060 can be found here:

Documents and Forms

Document Name Document Type
Form USGS 9-4000-A.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mine, Development, and Mineral Exploration Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form USGS 9-4000-A.pdf		Yes	Yes	Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 719	Number of Respondents for Small Entity: 180

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

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	719	102	617
Annual IC Time Burden (Hours)	539	76	463
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.