Information Collection

Mercury

IC 186623 under ICR 201112-1028-001 · OMB 1028-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4073-A Mercury	Form and Instruction
9-4073-A Mercury Mercury.pdf	Form and Instruction

IC Title:

Mercury

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	9-4073-A	Mercury	Mercury.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Computer Registration System

FR Citation: 74 FR 23430

Number of Respondents: 22

Number of Respondents for Small Entity: 4

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

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.