Information Collection

Permit Application (Private)

IC 189718 under ICR 201211-1028-001 · OMB 1028-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0082 can be found here:

Documents and Forms

Document Name Document Type
Permit Application.pdf www.pwrc.usgs.gov/bbl/forms/application.pdf Other-Permit Application

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Permit Application (Private)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Permit Application			Permit Application.pdf	http://www.pwrc.usgs.gov/bbl/forms/application.pdf	Yes	Yes	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms, 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	50	-88	138
Annual IC Time Burden (Hours)	25	-44	69
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.