Information Collection

DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands

IC 200779 under ICR 201204-0596-002 · OMB 0596-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-299 - DOI DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction
SF-299 - DOI Application for Transportation & Utility Systems & Facil SF 299 - DOI.pdf contacts.gsa.gov/webforms.nsf/0/DBD813FC70680862574DE0040CEBA/$sf299.pdf	Form and Instruction

IC Title:

DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29

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	SF-299 - DOI	Application for Transportation & Utility Systems & Facilities on Federal Lands	SF 299 - DOI.pdf	http://contacts.gsa.gov/webforms.nsf/0/DBD813FC70680862574DE0040CEBA/$sf299.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 55 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	550	550
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.