Refined Helium Deliveries Detail

Helium Contracts (43 CFR part 3195)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0179 can be found here:

Documents and Forms

Document Name Document Type
Form 3195-4 Refined Helium Deliveries Detail Form
3195-4 refined Helium Deliveries Detail BLM Form 3195-4.docx Form

Information Collection (IC) Details

IC Title:	Refined Helium Deliveries Detail	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3195-4	refined Helium Deliveries Detail	BLM Form 3195-4.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.