Information Collection

Application for an Incentive Plan Agreement (IPA) and List of IPA Participants (from 0648-0608)

IC 196985 under ICR 201411-0648-012 · OMB 0648-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0401 can be found here:

Documents and Forms

Document Name Document Type
Application for an Incentive Plan Agreement (IPA) and List of IPA Participants (from 0648-0608) Form and Instruction
IPA Application 0608 IPA appln.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for an Incentive Plan Agreement (IPA) and List of IPA Participants (from 0648-0608)	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
Form and Instruction	NA	IPA Application	0608 IPA appln.pdf		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: 1	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-3	4
Annual IC Time Burden (Hours)	40	-120	160
Annual IC Cost Burden (Dollars)	1	-6	7

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.