Information Collection

Amend approved TERA; Prepare and submit revised final proposed agreement

IC 45949 under ICR 201606-1076-004 · OMB 1076-0167.

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IC Title:

Amend approved TERA; Prepare and submit revised final proposed agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 224.76 25 CFR 224.65

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

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	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-1	2
Annual IC Time Burden (Hours)	520	-520	1,040
Annual IC Cost Burden (Dollars)	2,000	-2,000	4,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.