Information Collection

Tier 3 permit application

IC 231839 under ICR 202003-0648-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Tier 3 permit application	Form and Instruction
Tier 3 application Tier 3 Application_FINAL.docx	Form and Instruction

IC Title:

Tier 3 permit application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

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	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 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
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

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.