Information Collection

Locality Information - Individual

IC 222695 under ICR 201607-1093-001 · OMB 1093-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1093-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DI-9004 Locality Information - Individual	Form and Instruction
DI-9004 Paleontological Locality Form DI-9004 Paleontological Locality Form (1).docx	Form and Instruction

IC Title:

Locality Information - Individual

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 49.75(a)(1 & 7)

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	DI-9004	Paleontological Locality Form	DI-9004 Paleontological Locality Form (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 225

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	225	225
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

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.