Information Collection

Production Estimate, Form 9-4124-A (Private Sector)

IC 179290 under ICR 201909-1028-002 · OMB 1028-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Production Estimate, Form 9-4124-A (Private Sector)	Form and Instruction
G36.pdf	Form and Instruction
G36 G36 electronic form G36ElecForm.pdf	Form

IC Title:

Production Estimate, Form 9-4124-A (Private Sector)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	na	na	G36.pdf		Yes	Yes	Fillable Fileable
Form	G36	G36 electronic form	G36ElecForm.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 441

Number of Respondents for Small Entity: 320

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 11 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	441	-547	988
Annual IC Time Burden (Hours)	110	-137	247
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.