Information Collection

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

IC 38159 under ICR 201112-1014-002 · OMB 1014-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0015 can be found here:

Documents and Forms

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Information Collection (IC) Details

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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:

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 %

	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

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