Information Collection

Tier 3 permit application

IC 231839 under ICR 201811-0648-005 · OMB 0648-0679.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0679 can be found here:

Documents and Forms

Document Name Document Type
Tier 3 permit application Form and Instruction
Tier 3 application Tier 3 Application_FINAL.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tier 3 permit application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	NA	Tier 3 application	Tier 3 Application_FINAL.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: 520	Number of Respondents for Small Entity: 520

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	520	520
Annual IC Time Burden (Hours)	520	520
Annual IC Cost Burden (Dollars)	255	255

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.