Information Collection

1301d; f(3); g(1),(2)(ii); 1302b; 1304b, d - Requests

IC 38159 under ICR 201108-1010-002 · OMB 1010-0068.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

1301d; f(3); g(1),(2)(ii); 1302b; 1304b, d - Requests

Agency IC Tracking Number:

1010-0068

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1302b; 1304b, d 30 CFR 250.1301d; f(3); g(1),(2)(ii)

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: 3

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	3	0	3
Annual IC Time Burden (Hours)	285	84	201
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.