Information Collection

Fuel Bond

IC 39825 under ICR 201411-1545-021 · OMB 1545-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 928 Fuel Bond	Form
928 Fuel Bond Form 928 - rev 022015.pdf	Form

IC Title:

Fuel Bond

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	928	Fuel Bond	Form 928 - rev 022015.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,280	1,280
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.