Information Collection

QS Holder Form: Identification of Ownership Interest

IC 184485 under ICR 201702-0648-001 · OMB 0648-0272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0272 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
QS Holder Form: Identification of Ownership Interest	Form and Instruction
QS Holder: Identification of ownership interest 0272 rev ownership QS owner interest 021616.docx	Form and Instruction

IC Title:

QS Holder Form: Identification of Ownership Interest

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

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	QS Holder: Identification of ownership interest	0272 rev ownership QS owner interest 021616.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: 160

Number of Respondents for Small Entity: 160

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	320	320
Annual IC Cost Burden (Dollars)	504	504

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.