Information Collection

Application for an Incentive Plan Agreement (IPA) and List of IPA Participants

IC 196985 under ICR 201604-0648-003 · OMB 0648-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0401 can be found here:

Documents and Forms

Document Name Document Type
Application for an Incentive Plan Agreement (IPA) and List of IPA Participants Form and Instruction
IPA Application 0401 requestforapproval IPA 122415.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for an Incentive Plan Agreement (IPA) and List of IPA Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	IPA Application	0401 requestforapproval IPA 122415.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: 1	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	50	10	40
Annual IC Cost Burden (Dollars)	1	0	1

Documents for IC

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.