Information Collection

United States Extractive Industries Transparency Initiative (USEITI) Revenue Information Collection

IC 216425 under ICR 201505-1012-001 · OMB 1012-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1012-0NEW USEITI Reporting template United States Extractive Industries Transparency Initiative (USEITI) Revenue Information Collection	Form and Instruction
1012-0NEW USEITI Reporting template USEITI ICR_FormandInstr_05112015.pdf	Form and Instruction

IC Title:

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	1012-0NEW				Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	76	76
Annual IC Time Burden (Hours)	6,384	6,384
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.

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