Information Collection

Log of ATG Verification (43 CFR 3174.43(b)(1) and 3174.88(b)(4)

IC 221503 under ICR 202006-1004-002 · OMB 1004-0209.

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Information Collection (IC) Details

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IC Title:	Log of ATG Verification (43 CFR 3174.43(b)(1) and 3174.88(b)(4)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3174.43(b)(1) 43 CFR 3174.88(b)(4)

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: Land & Minerals Authorization Tracking System â Interior, LLM-32	FR Citation: 56 FR 5014

Number of Respondents: 1	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	-17	18
Annual IC Time Burden (Hours)	1	-1	2
Annual IC Cost Burden (Dollars)	405	0	405

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