Information Collection

800.15 - Adjustment of amount. (SRA's)

IC 187291 under ICR 201202-1029-004 · OMB 1029-0043.

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Information Collection (IC) Details

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IC Title:	800.15 - Adjustment of amount. (SRA's)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 800.15

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 Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,084	-2,523	5,607
Annual IC Time Burden (Hours)	15,115	-12,599	27,714
Annual IC Cost Burden (Dollars)	40,750	-14,250	55,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.