Information Collection

Production Estimate, Form 9-4124-A (State/Local Govt')

IC 192716 under ICR 201306-1028-001 · OMB 1028-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0065 can be found here:

Documents and Forms

Document Name Document Type
Form 9-4124-A Production Estimate, Form 9-4124-A (State/Local Govt') Form and Instruction
9-4124-A Production Estimate - Individual Company Data - Propriet Form 9-4124A.pdf minerals.usgs.gov/minerals/eforms.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Production Estimate, Form 9-4124-A (State/Local Govt')	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	9-4124-A	Production Estimate - Individual Company Data - Proprietary	Form 9-4124A.pdf	http://minerals.usgs.gov/minerals/eforms.html	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 3

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-9	9
Annual IC Time Burden (Hours)	-2	2
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.