Information Collection

Renewal Form (Private Sector)

IC 204708 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Renewal Form (Private Sector)	Form
Permit Renewal Form Permit Renewal Form.pdf www.pwrc.usgs.gov/bbl/homepage/renewalform.cfm	Form

IC Title:

Renewal Form (Private Sector)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	None	Permit Renewal Form	Permit Renewal Form.pdf	http://www.pwrc.usgs.gov/bbl/homepage/renewalform.cfm	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	8	8
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.