Information Collection

250.125(c) - Refund requests - Subpart A

IC 223627 under ICR 201609-1014-002 · OMB 1014-0031.

Documents and Forms

Document Name Document Type
Refund request page screenshot.PNG www.data.bsee.gov/homepg/data_center/other/refundrequest/requestrefund.asp Other-Webpage

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	250.125(c) - Refund requests - Subpart A	Agency IC Tracking Number:	1014-AA31

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 250.125(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Webpage			Refund request page screenshot.PNG	https://www.data.bsee.gov/homepg/data_center/other/refundrequest/requestrefund.asp	Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 138

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	10	10
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.