Information Collection

250.180(f), (g), (h), (i) - Submit Operation/Production data

IC 227516 under ICR 201701-1014-004 · OMB 1014-0022.

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Information Collection (IC) Details

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IC Title:	250.180(f), (g), (h), (i) - Submit Operation/Production data	Agency IC Tracking Number:	1014-0022 '17

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.180(f), (g), (h), (i)

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 384	Number of Respondents for Small Entity: 265

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	384	384
Annual IC Time Burden (Hours)	1,152	1,152
Annual IC Cost Burden (Dollars)	0	0

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