Information Collection

Application, reference forms and support letter

IC 216991 under ICR 201506-0648-007 · OMB 0648-0719.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0719 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application, reference forms and support letter	Form and Instruction
PMNM application package 2016 PMNM internship application form, checklist and reference forms package.docx	Form and Instruction

IC Title:

Application, reference forms and support letter

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	NA	PMNM application package	2016 PMNM internship application form, checklist and reference forms package.docx		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: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	80	80
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	20	20

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.