Information collection for sample distribution

Deep Water Horizon samples requests

Documents and Forms

Document Name Document Type
Information collection for sample distribution Form
List of places DWH sample availability announcement was posted.docx Other-posting information
Sample request form DWH Sample Request Form_5-20-16_clean.docx Form

Information Collection (IC) Details

IC Title:	Information collection for sample distribution	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Sample request form	DWH Sample Request Form_5-20-16_clean.docx		Yes	No	Fillable Printable
Other-posting information			List of places DWH sample availability announcement was posted.docx		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 75

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

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.