Information Collection

Request termination & supporting information

IC 184509 under ICR 201103-1010-002 · OMB 1010-0170.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0170 CIAP_State_Plan_Guidelines_(09-08-10).doc www.boemre.gov/offshore/PDFs/StatePlanAmendmentGuidelines.pdf	Other-State Guidelines

IC Title:

Agency IC Tracking Number:

OMM-1010-0170 ext 11

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
Other-State Guidelines				http://www.boemre.gov/offshore/PDFs/StatePlanAmendmentGuidelines.pdf	Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	8	7
Annual IC Time Burden (Hours)	90	48	42
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.

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