Information Collection

First Receiver Site License Initial Issuance/Renewal

IC 194064 under ICR 201610-0648-003 · OMB 0648-0620.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0620 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
First Receiver Site License Initial Issuance/Renewal	Form and Instruction
First Receiver Site License Application 12 & 13 - FIRST_RECEIVER_SITE_LICENSE_APPLICATION_FORM.docx	Form and Instruction

IC Title:

First Receiver Site License Initial Issuance/Renewal

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	NA	First Receiver Site License Application	12 & 13 - FIRST_RECEIVER_SITE_LICENSE_APPLICATION_FORM.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43	0	-12	55
Annual IC Time Burden (Hours)	75	0	-35	110
Annual IC Cost Burden (Dollars)	8,674	-550	-1,046	10,270

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.