Information Collection

Customer Data Worksheet Request for SCIMS Change

IC 183739 under ICR 201103-0560-006 · OMB 0560-0265.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0265 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 2047 Customer Data Worksheet Request for SCIMS Change	Form and Instruction
AD 2047 Customer Data Worksheet Request for SCIMS Change AD2047_090804V02.docx	Form and Instruction

IC Title:

Customer Data Worksheet Request for SCIMS Change

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	AD 2047	Customer Data Worksheet Request for SCIMS Change	AD2047_090804V02.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	51,750	0	51,750
Annual IC Time Burden (Hours)	8,798	-15,525	24,323
Annual IC Cost Burden (Dollars)	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.