Information Collection

502; 512; 500-530 - Requests

IC 10736 under ICR 201211-1014-004 · OMB 1014-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0004 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	502; 512; 500-530 - Requests	Agency IC Tracking Number:	1010-0067 ext '10

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 250.502; 512; 500-530

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: 118	Number of Respondents for Small Entity: 83

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

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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