Information Collection

241 thru 262; 266-285 - Contents of DPP and DOCD

IC 184177 under ICR 201108-1010-003 · OMB 1010-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0139 241 thru 262; 266-285 - Contents of DPP and DOCD	Form
Form 0139 Inst exp 2014.doc www.gomr.boemre.gov/homepg/forms/frmindx.html	Instruction
0139 DOCD Air Quality Screening Checklist Form 0139 exp 2014.xls www.gomr.boemre.gov/homepg/forms/frmindx.html	Form

IC Title:

241 thru 262; 266-285 - Contents of DPP and DOCD

Agency IC Tracking Number:

1010-0151

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.241 thru 262; 266 thru 285

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	0139	DOCD Air Quality Screening Checklist	Form 0139 exp 2014.xls	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Fillable Fileable
Instruction			Form 0139 Inst exp 2014.doc	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Printable Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 254

Number of Respondents for Small Entity: 165

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	254	143	0	111
Annual IC Time Burden (Hours)	78,290	690	0	77,600
Annual IC Cost Burden (Dollars)	627,418	0	-520,082	1,147,500

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.