Information Collection

Fee Worksheets 514.6

IC 204749 under ICR 201809-3141-002 · OMB 3141-0007.

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Information Collection (IC) Details

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IC Title:	Fee Worksheets 514.6	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 514.6

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 461	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,844	108	1,736
Annual IC Time Burden (Hours)	11,064	7,592	3,472
Annual IC Cost Burden (Dollars)	1,431	-3,777	5,208

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