Information Collection

602; 605; 612; 613; 614(d); 615a, e(4); 616a, d; 600-618 - Requests

IC 10684 under ICR 201211-1014-003 · OMB 1014-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0001 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	602; 605; 612; 613; 614(d); 615a, e(4); 616a, d; 600-618 - Requests	Agency IC Tracking Number:	omm-1010-0043 ext '10

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.600-618 30 CFR 250.602; 605; 612; 613; 614(d) 30 CFR 250.615a, e(4); 616a, d;

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: 1,235	Number of Respondents for Small Entity: 803

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,235	80	1,155
Annual IC Time Burden (Hours)	1,617	160	1,457
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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