Information Collection

Production Estimate, Form 9-4124-A (Private Sector)

IC 179290 under ICR 200908-1028-003 · OMB 1028-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4124A Production Estimate, Form 9-4124-A (Private Sector)	Form and Instruction
9-4124A Production Estimate - Individual Company Data - Propriet 1028-0065 form 9-4124-A.pdf minerals.usgs.gov/minerals/eforms.html	Form and Instruction

IC Title:

Production Estimate, Form 9-4124-A (Private Sector)

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 and Instruction	9-4124A	Production Estimate - Individual Company Data - Proprietary	1028-0065 form 9-4124-A.pdf	http://minerals.usgs.gov/minerals/eforms.html	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: 875

Number of Respondents for Small Entity: 320

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	875	-9	-28	912
Annual IC Time Burden (Hours)	219	-2	-7	228
Annual IC Cost Burden (Dollars)	0	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.