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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.