Information Collection

250.168, 171, 172, 174, 175, 177, 180(b), (d) - Request SOO or SOP

IC 227495 under ICR 201905-1014-006 · OMB 1014-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0022 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	250.168, 171, 172, 174, 175, 177, 180(b), (d) - Request SOO or SOP	Agency IC Tracking Number:	1014-0022 '17

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 250.168, 171, 172, 174, 175, 30 CFR 250.177, 180(b), (d)

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 105	Number of Respondents for Small Entity: 72

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	105	105
Annual IC Time Burden (Hours)	1,155	1,155
Annual IC Cost Burden (Dollars)	222,915	222,915

Documents for IC

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