Information Collection

Good Samaritan DAS credits

IC 206392 under ICR 201601-0648-010 · OMB 0648-0202.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0202 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DAS credit form Good Samaritan DAS credits	Form and Instruction
DAS credit form 0202_DAS_Credit_Request_Form.docx	Form and Instruction

IC Title:

Good Samaritan DAS credits

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	NA				Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 24

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	35	35

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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