Information Collection

162.237, 337, 437, 527, 562 - Provide information for acceptable insurance (tribal)

IC 179214 under ICR 201106-1076-001 · OMB 1076-0155.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0155 can be found here:

Documents and Forms

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IC Title:

162.237, 337, 437, 527, 562 - Provide information for acceptable insurance (tribal)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 162.237 25 CFR 162.337 25 CFR 162.437 25 CFR 162.527 25 CFR 162.562

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: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 2,000

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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.