Information Collection

Self bonding

IC 198959 under ICR 201105-1012-002 · OMB 1012-0006.

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Information Collection (IC) Details

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IC Title:	Self bonding	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 1243.200(a) and (b)

Information Collection 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: 65	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	250	250

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.