Request termination & supporting information

Coastal Impact Assistance Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0147 can be found here:

Documents and Forms

Document Name Document Type
0170 CIAP_State_Plan_Guidelines_(09-08-10).doc www.boemre.gov/offshore/PDFs/StatePlanAmendmentGuidelines.pdf Other-State Guidelines

Information Collection (IC) Details

IC Title:	Request termination & supporting information	Agency IC Tracking Number:	OMM-1010-0170 ext 11

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-State Guidelines			0170 CIAP_State_Plan_Guidelines_(09-08-10).doc	http://www.boemre.gov/offshore/PDFs/StatePlanAmendmentGuidelines.pdf	Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	8	7
Annual IC Time Burden (Hours)	90	48	42
Annual IC Cost Burden (Dollars)	0	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.