Information Collection

514c; 516i; 523 - Post/Retain

IC 180078 under ICR 201009-1010-002 · OMB 1010-0067.

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IC Title:

514c; 516i; 523 - Post/Retain

Agency IC Tracking Number:

1010-0067 ext '10

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.514c; 516i; 523

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,958

Number of Respondents for Small Entity: 3,471

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,958	3,448	1,510
Annual IC Time Burden (Hours)	5,610	1,600	4,010
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.