Information Collection

Paper form and instruction

IC 217745 under ICR 201807-1028-001 · OMB 1028-0079.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0079 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Paper form and instruction	Form and Instruction
BB Survey form 2018-05-07.pdf	Form and Instruction

IC Title:

Paper form and instruction

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	na	BB Survey form 2018-05-07.pdf		No		Paper Only

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 612

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	612	-51	663
Annual IC Time Burden (Hours)	6,732	-561	7,293
Annual IC Cost Burden (Dollars)	33,354	-4,769	38,123

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.