Information Collection

780.20 - How must I prepare the determination of the probable hydrologic consequences of my proposed operation (PHC determination)? (SRAs)

IC 213803 under ICR 201610-1029-003 · OMB 1029-0133.

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IC Title:	780.20 - How must I prepare the determination of the probable hydrologic consequences of my proposed operation (PHC determination)? (SRAs)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 780.20

Information Collection Instruments:

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

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	115	-1	116
Annual IC Time Burden (Hours)	1,265	1,150	115
Annual IC Cost Burden (Dollars)	0	0	0

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