Information Collection

606; 611; 616a-b, f-g; 617a, h; 618 - Record/Document

IC 180165 under ICR 201211-1014-003 · OMB 1014-0001.

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Information Collection (IC) Details

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IC Title:	606; 611; 616a-b, f-g; 617a, h; 618 - Record/Document	Agency IC Tracking Number:	1010-0043 ext '10

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.606; 611; 616a-b, f-g; 30 CFR 250.617a, h; 618

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: 14,892	Number of Respondents for Small Entity: 9,680

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,892	2,592	12,300
Annual IC Time Burden (Hours)	38,560	15,918	22,642
Annual IC Cost Burden (Dollars)	0	0	0

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