Information Collection

Written Report - Accidents Involving Serious Injuries/Deaths and Fires/Spills § 29.121(d)

IC 215541 under ICR 201907-1018-002 · OMB 1018-0162.

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Information Collection (IC) Details

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IC Title:	Written Report - Accidents Involving Serious Injuries/Deaths and Fires/Spills § 29.121(d)	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 29.121(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 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: 20	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	320	320
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.