Information Collection

Mine, Development, and Mineral Exploration Supplement (State, Local, or Tribal Government)

IC 205567 under ICR 201301-1028-005 · OMB 1028-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0060 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4000-A Mine, Development, and Mineral Exploration Supplement (State, Local, or Tribal Government)	Form and Instruction
Operation Registration.pdf miforms.er.usgs.gov/	Other-Operation Registration
User Registration.pdf miforms.er.usgs.gov/	Other-User Registration
9-4000-A Mine, Development, and Mineral Exploration Supplement 9-4000-A.pdf	Form and Instruction
proprietary_data_brochure.pdf Proprietary Data Brochure	IC Document

IC Title:

Mine, Development, and Mineral Exploration Supplement (State, Local, or Tribal Government)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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 and Instruction	9-4000-A	Mine, Development, and Mineral Exploration Supplement	9-4000-A.pdf		Yes	Yes	Fillable Fileable
Other-Operation Registration			Operation Registration.pdf	https://miforms.er.usgs.gov/	Yes	Yes	Fillable Fileable
Other-User Registration			User Registration.pdf	https://miforms.er.usgs.gov/	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Computer Registration Interior/USGS-20

FR Citation: 74 FR 23430

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Proprietary Data Brochure	proprietary_data_brochure.pdf	02/12/2013

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