Information Collection

250.1303; 1304 - Rev/Modifications

IC 228719 under ICR 201701-1014-006 · OMB 1014-0015.

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Information Collection (IC) Details

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IC Title:	250.1303; 1304 - Rev/Modifications	Agency IC Tracking Number:	1014-0015 ext. 17

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 30 CFR 250.1303; 1304

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: 63	Number of Respondents for Small Entity: 44

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	63	63
Annual IC Time Burden (Hours)	630	630
Annual IC Cost Burden (Dollars)	56,448	56,448

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.