Information Collection

Application for replacement of certificates, permits, or licenses

IC 184491 under ICR 201109-0648-010 · OMB 0648-0272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0272 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for replacement of certificates, permits, or licenses	Form and Instruction
Application for replacement of certificates or permits 0272 renew 062911 Appln Replacement Permits.pdf	Form and Instruction

IC Title:

Application for replacement of certificates, permits, or licenses

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Form and Instruction	NA	Application for replacement of certificates or permits	0272 renew 062911 Appln Replacement Permits.pdf		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 350

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

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	350	0	-200	550
Annual IC Time Burden (Hours)	175	0	-100	275
Annual IC Cost Burden (Dollars)	189	-2,842	0	3,031

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.