Information Collection

Sample Separator Cleaning -- Documentation (43 CFR 3175.113(d)(1) ANNUAL

IC 223741 under ICR 202006-1004-003 · OMB 1004-0210.

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Information Collection (IC) Details

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IC Title:	Sample Separator Cleaning -- Documentation (43 CFR 3175.113(d)(1) ANNUAL	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3175.113(d)(1)

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: 7,573	Number of Respondents for Small Entity: 3,787

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

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-7,573	7,573
Annual IC Time Burden (Hours)	-757	757
Annual IC Cost Burden (Dollars)	-151,460	151,460

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