Information Collection

780.21 - What requirements apply to preparation and review of the cumulative hydrologic impact assessment (CHIA)? (Industry)

IC 213804 under ICR 201610-1029-003 · OMB 1029-0133.

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IC Title:	780.21 - What requirements apply to preparation and review of the cumulative hydrologic impact assessment (CHIA)? (Industry)	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 780.21

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: 116	Number of Respondents for Small Entity: 114

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

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	116	0	116
Annual IC Time Burden (Hours)	1,160	1,160	0
Annual IC Cost Burden (Dollars)	5,800	0	5,800

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