Information Collection

DAS Leasing Request Form

IC 223885 under ICR 201610-0648-002 · OMB 0648-0605.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0605 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DAS Leasing Request Form	Form
DAS Leasing Request Form 2016 DAS Leasing Request Form_Merged with 0605.pdf	Form

IC Title:

DAS Leasing Request Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	NA	DAS Leasing Request Form	2016 DAS Leasing Request Form_Merged with 0605.pdf		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: 300

Number of Respondents for Small Entity: 300

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	354	354

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.