Information Collection

Collect an Ashfall Sample

IC 205544 under ICR 201511-1028-003 · OMB 1028-0106.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0106 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ash Collection Instructions.docx	Instruction
Ashfall reporting Paper Form.doc	Form

IC Title:

Collect an Ashfall Sample

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			Ash Collection Instructions.docx		Yes	No	Printable Only
Form	na	na	Ashfall reporting Paper Form.doc		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: DOI-08 Social Media

FR Citation: 76 FR 44033

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	21	18	3
Annual IC Cost Burden (Dollars)	711	3	708

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.