Information Collection

Identification of Wells and Related Facilities §29.119(b)(3)

IC 215537 under ICR 201907-1018-002 · OMB 1018-0162.

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IC Title:

Identification of Wells and Related Facilities §29.119(b)(3)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.119(b)(3)

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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: National Wildlife Refuge Special Use Permits-Interior, FWS-5

FR Citation: 73 FR 31877

Number of Respondents: 45

Number of Respondents for Small Entity: 45

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	0	0

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