Information Collection

Renewal Form (State/Local/Tribal Govt.)

IC 204709 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⚠️ Notice: This information collection may be referencing outdated material.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
Renewal Form (State/Local/Tribal Govt.) Form
Permit Renewal Form Permit Renewal Form.pdf www.pwrc.usgs.gov/bbl/homepage/renewalform.cfm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Renewal Form (State/Local/Tribal Govt.)	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:

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: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	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.