Information Collection

1604f; 1605c; 1609a; 1611d(3), f, g; 1613e; 1616c; 1619a; 1621; 1623; 1625d(3)d, f; g;1628b, d; 1629b(1)ii, iv; 1630b; 1631; 1634b - Record/Retain

IC 180154 under ICR 201110-1014-006 · OMB 1014-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0006 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	1604f; 1605c; 1609a; 1611d(3), f, g; 1613e; 1616c; 1619a; 1621; 1623; 1625d(3)d, f; g;1628b, d; 1629b(1)ii, iv; 1630b; 1631; 1634b - Record/Retain	Agency IC Tracking Number:	omm-1010-0086 ext 10

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1616c; 1619a; 1621;1623 30 CFR 250.1625d(3)d, f;g; 1628b, d 30 CFR 250.1611d(3), f, g; 1613e; 30 CFR 250.1631; 1634b 30 CFR 250.1604f; 1605c; 1609a; 30 CFR 250.1629b(1)ii, iv; 1630b;

Information Collection 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: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	486	486
Annual IC Time Burden (Hours)	849	849
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.