Information Collection

Subpart D - 250.420(b);421(b);423(c);428(c),(d),(k);462(c),(d),(e);465(a),(b);721(g);743(a),(b),(c);744;746(e);1704(h)

IC 205437 under ICR 201510-1014-001 · OMB 1014-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0028 can be found here:

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Information Collection (IC) Details

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IC Title:	Subpart D - 250.420(b);421(b);423(c);428(c),(d),(k);462(c),(d),(e);465(a),(b);721(g);743(a),(b),(c);744;746(e);1704(h)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.462(c)(d)(e);465(a)(b) 30 CFR 250.420(b);421(b);423(c) 30 CFR 250.428(c),(d),(k 30 CFR 250.721(g);743(a)(b)(c);744 30 CFR 250.746(e) 30 CFR 250.1704(h)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,999	Number of Respondents for Small Entity: 1,572

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

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,999	985	1,014
Annual IC Time Burden (Hours)	6,822	1,923	4,899
Annual IC Cost Burden (Dollars)	0	0	0

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