Information Collection

Request for Extension of Time for a Detailed Meter Tube Inspection (43 CFR 3175.80(k)(3)

IC 223735 under ICR 202006-1004-003 · OMB 1004-0210.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Request for Extension of Time for a Detailed Meter Tube Inspection (43 CFR 3175.80(k)(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: 43 CFR 3175.80(k)(3)

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:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	-1,086	1,116
Annual IC Time Burden (Hours)	30	-528	558
Annual IC Cost Burden (Dollars)	0	0	0

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